Average Medicaid Dental Cleaning & Exam Payments in Philadelphia, PA: $29.51
Avg. Paid
$29.51
Range
$0.00 – $213.79
Total Claims
1,399,541
Providers
479
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 Philadelphia, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen Gray
100 E Lehigh Ave |
$26.68 | 50,041 | 49,129 |
|
Kristin D'Adamo
2301 E Allegheny Ave |
$26.76 | 26,224 | 26,220 |
|
Ashika Mandara
1851 S Columbus Blvd Ste 1 |
$36.82 | 26,169 | 26,081 |
|
Najeed Saleh
240 S 40Th St |
$23.95 | 24,687 | 24,327 |
|
Ankur Shah
3900 Woodland Ave |
$31.86 | 23,963 | 23,151 |
|
Ronald Michael Day
6404 Roosevelt Blvd |
$39.11 | 23,641 | 22,852 |
|
Lucienne Pino
2821 Island Ave |
$27.43 | 22,174 | 21,488 |
|
David A. Bresler Dds Pc
6801 Ridge Ave |
$28.80 | 21,937 | 21,628 |
|
Evan Cyrkin
2101 Chestnut St |
$34.52 | 19,676 | 19,676 |
|
Linda Adijatu Jubiril-Taylor
2520 Snyder Ave |
$44.17 | 17,653 | 17,312 |
|
Dana Kristanne Chianese
2301 E Allegheny Ave Ste 201 |
$33.03 | 17,466 | 16,798 |
|
Richard Joseph Clark
160 E Erie Ave |
$25.99 | 16,632 | 16,234 |
|
David Arthur Lawrence
240 Geiger Rd |
$26.99 | 15,341 | 14,002 |
|
Kimberly Thomas
6404 Roosevelt Blvd |
$32.87 | 15,213 | 14,895 |
|
Maria Bender
2301 E Allegheny Ave Fl 2 |
$34.05 | 15,089 | 14,808 |
|
Win Lee
100 E Lehigh Ave |
$26.48 | 14,657 | 13,810 |
|
Syed Naved Zahid
5675 Nth Front St. |
$31.63 | 14,610 | 13,356 |
|
Alec Thomas Robin
240 S 40Th St. |
$41.39 | 13,893 | 13,798 |
|
Eric Edward Rooney
5597 Tulip St |
$25.48 | 13,666 | 13,106 |
|
Chelsea Eppolito
3601 A St |
$40.19 | 12,402 | 12,400 |
|
Ashley Lebak
100 E Lehigh Ave |
$33.18 | 11,670 | 11,398 |
|
Tanner Mark Clark
2203 Fitzwater St Unit 1 |
$43.73 | 11,539 | 11,491 |
|
Clinton Rutherford
6404 Roosevelt Blvd |
$28.20 | 11,343 | 11,265 |
|
Karthik Srinivas Cherukuri
3900 Woodland Ave |
$40.05 | 11,299 | 11,051 |
|
Greater Philadelphia Health Action Inc.
1401 S. 31St Street |
$0.01 | 11,093 | 11,015 |
|
Pujitha Siddani
2301 E Allegheny Ave Fl 2 |
$29.99 | 10,842 | 10,838 |
|
Sara D'Apolito Dworkin
2301 E Allegheny Ave Ste 201 |
$33.22 | 10,461 | 10,078 |
|
Eunice Adebola Oduntan
2459 Aramingo Ave |
$25.01 | 10,088 | 9,835 |
|
Natalie Hoang Tang
240 Geiger Rd |
$29.84 | 10,021 | 9,875 |
|
Stephen E Band
9880 Bustleton Ave |
$30.86 | 9,727 | 9,582 |
|
Nermeen A Rifai
5139 Chestnut St |
$29.49 | 9,455 | 9,118 |
|
Paul Abram Bahn
6404 Roosevelt Blvd |
$32.44 | 9,425 | 9,255 |
|
Sonika Shah
160 E Erie Ave |
$27.56 | 9,156 | 9,081 |
|
Nancy Bien
2301 E Allegheny Ave Ste 201 |
$32.68 | 9,125 | 8,878 |
|
Rebecca A Lineman
2107B Cottman Ave |
$24.95 | 9,035 | 8,742 |
|
John Michael Ruggieri
1911 S Broad St |
$35.06 | 8,963 | 8,704 |
|
Halah Obeidat
2301 E Allegheny Ave |
$43.60 | 8,737 | 8,462 |
|
Julianna Kopakowski
240 Geiger Rd |
$30.13 | 8,654 | 8,615 |
|
Silvana Cumani
2675 E. Cumberland Street |
$24.91 | 8,653 | 8,404 |
|
Janny Lim
2301 E Allegheny Ave Fl 2 |
$44.05 | 8,649 | 8,594 |
|
Steve Hong
2000 Market St |
$37.76 | 8,400 | 8,262 |
|
Megan Eskridge
6801 Ridge Ave |
$24.35 | 8,291 | 8,202 |
|
Lan Ngoc Vu
826 W Porter St |
$40.74 | 8,250 | 8,205 |
|
Jillian Spring
2675 E Cumberland St |
$24.81 | 8,171 | 8,083 |
|
Alegria Dagostino
6404 Roosevelt Blvd |
$32.81 | 8,124 | 7,897 |
|
Sasha Manchanda
6404 Roosevelt Blvd |
$32.87 | 8,097 | 7,634 |
|
Allen B Tan
6595C Roosevelt Blvd |
$31.59 | 8,097 | 7,829 |
|
Lauren Ortiz
240 Geiger Rd |
$24.19 | 8,087 | 7,974 |
|
Bansi Mithani Doescher
1500 John F Kennedy Blvd Ste 1906 |
$25.07 | 8,056 | 7,551 |
|
Daniel Scott Vanvolkenburgh
4004 Ashburner St |
$47.16 | 8,025 | 7,699 |
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 Philadelphia, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Philadelphia, PA is $29.51 per claim, based on 1,399,541 claims from 479 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 Philadelphia, PA?
There are 479 Medicaid providers offering Dental Cleaning & Exam related services in Philadelphia, PA according to public payment data.
What is the price range for Dental Cleaning & Exam in Philadelphia, PA?
Medicaid reimbursement for Dental Cleaning & Exam in Philadelphia, PA ranges from $0.00 to $213.79 per claim, with an average of $29.51. 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 Philadelphia, PA
Office Visit
Avg $47.22
5,853,067 claims
Substance Abuse Treatment
Avg $57.23
5,131,687 claims
Psychiatric Evaluation
Avg $69.22
3,688,209 claims
Emergency Room Visit
Avg $135.52
3,661,931 claims
X-Ray
Avg $9.69
1,822,183 claims
Behavioral & Mental Health Therapy
Avg $119.23
1,618,868 claims
Blood Work & Lab Tests
Avg $6.85
1,492,079 claims
EKG / ECG (Electrocardiogram)
Avg $11.36
1,272,685 claims