Average Medicaid Dental Cleaning & Exam Payments in Pawtucket, RI: $27.50
Avg. Paid
$27.50
Range
$0.00 – $48.60
Total Claims
171,073
Providers
15
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 Pawtucket, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sheila L Brijade
123 School St Ste 1 |
$33.03 | 65,620 | 63,251 |
|
Miguel Ariel Roca
700 School St # Condo1 |
$28.35 | 31,267 | 30,034 |
|
Yanli Ding
42 Park Pl |
$7.42 | 19,562 | 17,541 |
|
Yvonne Margaret Wolny
40 Broad St |
$27.19 | 17,961 | 16,413 |
|
Christine L Myles
39 East Ave |
$20.13 | 9,924 | 9,235 |
|
Cornelius J. Leahey
556 Armistice Blvd |
$21.56 | 7,114 | 6,807 |
|
John Herchuk
700 School St |
$44.38 | 6,060 | 6,031 |
|
Raj Venkat Dulala
1571 Newport Ave |
$40.72 | 3,258 | 3,222 |
|
Christa Rodenas
75 S Union St |
$48.60 | 2,852 | 2,797 |
|
Anita N Vasvani
140 Newport Ave |
$23.92 | 2,686 | 2,481 |
|
Lalita Bhattacharya
42 Park Place |
$0.12 | 2,347 | 2,327 |
|
Paul G. Roque
642 Newport Ave |
$25.03 | 2,290 | 2,139 |
|
Howard Marcus Vincent
719 Armistice Blvd |
$29.30 | 86 | 85 |
|
Miguel Roca Inc
700 School St |
$0.00 | 34 | 32 |
|
Michael A Wagner
480 Broadway |
$25.83 | 12 | 12 |
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 Pawtucket, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Pawtucket, RI is $27.50 per claim, based on 171,073 claims from 15 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 Pawtucket, RI?
There are 15 Medicaid providers offering Dental Cleaning & Exam related services in Pawtucket, RI according to public payment data.
What is the price range for Dental Cleaning & Exam in Pawtucket, RI?
Medicaid reimbursement for Dental Cleaning & Exam in Pawtucket, RI ranges from $0.00 to $48.60 per claim, with an average of $27.50. 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
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