Average Medicaid Dental Cleaning & Exam Payments in Passaic, NJ: $18.93
Avg. Paid
$18.93
Range
$8.57 – $39.98
Total Claims
229,427
Providers
26
Typical Payment Range
Typical Medicaid Dental Cleaning & Exam payments fall between $25.53 and $40.26 per claim (median: $32.14). The top 10% of payments exceed $55.10.
Based on per-provider averages across all Medicaid claims in this category.
Routine dental cleaning (prophylaxis) and oral examination. Includes scaling, polishing, and assessment of oral health.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Dental Cleaning & Exam in Passaic, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Virtuoso Dental Care Llc
183 Jefferson St |
$15.00 | 25 | 25 |
|
Broadway Family Dental Llc
15 Broadway |
$22.96 | 172 | 172 |
|
Latha Voladri D.D.S,L.Lc
641 Main Ave |
$15.59 | 174 | 174 |
|
Shon Dental Group Pc
20 Broadway |
$18.25 | 373 | 373 |
|
Allure Dental Care
102-104 Prospect Street |
$17.18 | 618 | 614 |
|
Sandra Lopez
220 Passaic St |
$9.92 | 722 | 670 |
|
Sharon S Jacobson
25 Westminster Pl |
$10.49 | 996 | 951 |
|
Passaic Family Dental L.L.C.
218 Autumn St |
$16.31 | 1,007 | 1,005 |
|
Dental Plaza Pa
503 Paulison Ave |
$18.15 | 1,541 | 1,540 |
|
Passaic Dental Association
244 Paulison Ave |
$24.17 | 2,079 | 2,073 |
|
Surmilena Polanco
183 Jefferson St |
$30.01 | 3,539 | 3,534 |
|
Children'S Dentistry Of Passaic Llc
124 Gregory Ave |
$20.00 | 3,848 | 3,847 |
|
Estela Del Carmen Guerrero
218 Autumn St. |
$8.68 | 4,083 | 4,032 |
|
Louis J Sardelli
503 Paulison Ave |
$9.47 | 5,927 | 5,880 |
|
Nelfa Cespedes
293 Main Ave |
$31.71 | 6,434 | 5,720 |
|
Debra Mandelbaum
625 Main Ave |
$39.98 | 6,851 | 5,020 |
|
Vince F Dalessio
503 Paulison Ave |
$8.57 | 7,105 | 7,066 |
|
Young Joon Shon
20 Broadway |
$11.27 | 7,669 | 7,655 |
|
Jonathan Sipzner
625 Main Ave |
$20.75 | 9,016 | 8,960 |
|
Bertha Maria Ruiz-Sardelli
503 Paulison Ave |
$12.17 | 10,794 | 10,724 |
|
Sunitha Murthy
15 Broadway |
$16.16 | 11,103 | 11,080 |
|
Tomas K Fong-Soto
337 Passaic St |
$9.16 | 15,326 | 15,193 |
|
Edward W. Boehm
112 Lexington Ave |
$19.18 | 16,971 | 16,923 |
|
Smile Central Passaic P.C.
625 Main Ave |
$24.32 | 21,374 | 21,363 |
|
Padma Joshi
124 Gregory Ave |
$11.75 | 23,000 | 22,963 |
|
Ameet S Patheja
625 Main Ave Ste 315 |
$22.61 | 68,680 | 68,501 |
What to Expect: Dental Cleaning & Exam
A dental cleaning typically takes 30-60 minutes. A dental hygienist removes plaque and tartar from your teeth using specialized tools, then polishes your teeth. The dentist performs an oral exam to check for cavities, gum disease, and other conditions. X-rays may be taken. Most people need cleanings every 6 months.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation | $28.00 | 136,235,319 | 64,580 |
| D1120 | Child prophylaxis cleaning | $33.46 | 108,321,764 | 53,285 |
| D1110 | Adult prophylaxis cleaning | $43.53 | 58,293,656 | 54,558 |
| D0150 | Comprehensive oral evaluation | $37.52 | 46,846,802 | 53,166 |
| D0140 | Limited oral evaluation | $30.78 | 25,779,640 | 37,203 |
| D0145 | Oral eval patient <3 yrs | $77.14 | 5,590,205 | 11,270 |
| D0160 | Detailed oral evaluation | $41.80 | 694,698 | 945 |
| D0180 | Comprehensive perio evaluation | $25.65 | 198,480 | 674 |
| D0170 | Re-evaluation limited problem | $25.76 | 164,602 | 581 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Dental Cleaning & Exam cost in Passaic, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Passaic, NJ is $18.93 per claim, based on 229,427 claims from 26 providers. Typical payments fall between $25.53 and $40.26. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Dental Cleaning & Exam in Passaic, NJ?
There are 26 Medicaid providers offering Dental Cleaning & Exam related services in Passaic, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in Passaic, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in Passaic, NJ ranges from $8.57 to $39.98 per claim, with an average of $18.93. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
Brooklyn, NY
Avg $29.76
5,899,905 claims · 889 providers
Chicago, IL
Avg $29.66
4,929,791 claims · 823 providers
Los Angeles, CA
Avg $49.60
3,990,780 claims · 877 providers
Houston, TX
Avg $39.95
3,744,881 claims · 918 providers
Bronx, NY
Avg $31.12
3,317,284 claims · 478 providers
New York, NY
Avg $30.52
3,240,448 claims · 723 providers
Phoenix, AZ
Avg $11.18
2,295,389 claims · 350 providers
San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
Other Procedures in Passaic, NJ
Home Health Visit
Avg $81.90
1,067,909 claims
Office Visit
Avg $54.64
944,779 claims
Blood Work & Lab Tests
Avg $4.44
275,093 claims
Vaccines & Immunizations
Avg $15.55
269,477 claims
Physical Therapy
Avg $12.22
129,019 claims
Urinalysis & Urine Tests
Avg $2.32
128,261 claims
Psychiatric Evaluation
Avg $82.30
109,834 claims
Emergency Room Visit
Avg $193.49
106,833 claims