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 |
|---|---|---|---|
|
Elite Dental, Llc
1575 N 52Nd St |
$23.50 | 12 | 12 |
|
Ana Kodra
2101 Chestnut St Unit 1717 |
$17.32 | 12 | 12 |
|
Garrett Andrew Frank
3223 N Broad St |
$30.86 | 12 | 12 |
|
Natalie Khalil
5675 N Front St |
$1.57 | 12 | 12 |
|
Danya Leigh Shabi
160 E Erie Ave |
$0.00 | 13 | 13 |
|
Amanda Montalvo
401 W Allegheny Ave |
$0.00 | 13 | 13 |
|
Sung H Cho
909 Walnut St |
$0.00 | 13 | 13 |
|
Aisha Javed
1701 E Moyamensing Ave |
$26.65 | 13 | 13 |
|
Elizabeth Ann Wagner
100 E Lehigh Ave |
$165.00 | 13 | 13 |
|
Bhumica Patel
3223 North Broad Street |
$32.23 | 13 | 13 |
|
Sarah Rose Dixon
1401 S 31St St |
$0.00 | 13 | 13 |
|
Lemuel Pidlaon
1936 Cottman Ave |
$19.41 | 13 | 13 |
|
Joseph P. Mulligan
100 E Lehigh Ave |
$25.71 | 14 | 14 |
|
Elena Semprevivo
2107 Cottman Avenue |
$28.75 | 14 | 14 |
|
Mohammad Abu Kar
3223 N Broad St |
$0.00 | 14 | 14 |
|
Ami Patel
2459 Aramingo Ave |
$0.00 | 14 | 14 |
|
Colleen Patricia Kendrick
1916 Welsh Rd |
$23.74 | 14 | 14 |
|
Elite Dental, Llc
61 W Chelten Ave # 63 |
$6.27 | 15 | 12 |
|
Ryan Dominic Menezes
3945 Chestnut St |
$28.85 | 15 | 15 |
|
John Hyukbum Kwon
4300 Spruce St Apt B303 |
$23.50 | 15 | 15 |
|
Albert Alan Pesis
3223 N Broad St |
$24.00 | 15 | 15 |
|
Nipul Tanna
240 S. 40Th Street |
$17.26 | 16 | 12 |
|
Mostafa Alwakeel
5450 Wissahickon Ave Apt B232 |
$0.00 | 16 | 16 |
|
Arianna Accay
401-55 W Allegheny Avenue |
$0.00 | 17 | 17 |
|
Kaushik Haridutt Sharma
100 E Lehigh Ave |
$39.11 | 18 | 18 |
|
Joshua Jeongwan Kim
3700 Market St Ste 101 |
$0.00 | 18 | 18 |
|
Donguk Lee
240 S 40Th St |
$17.27 | 22 | 22 |
|
Stephanie Clark
7601 A Germantown Ave |
$28.00 | 24 | 24 |
|
Yingci Liu
3401 N Broad St |
$14.56 | 25 | 24 |
|
Lennie M. Checchio, D.D.S., Ltd.
9525 Frankford Ave |
$24.29 | 25 | 25 |
|
Abby Trenaman Gaughan
240 S 40Th St |
$30.04 | 26 | 26 |
|
Vladimir Flys
3223 N Broad St |
$27.04 | 26 | 26 |
|
Abimbola Oyindamola Oyeniyi
801 N 2Nd St Frnt 2 |
$25.98 | 26 | 26 |
|
Yuan Liu
3223 N Broad St |
$18.57 | 27 | 27 |
|
Olga Dolghier
100 East Lehigh Ave |
$38.88 | 28 | 28 |
|
Abdul Sami Janjua
1822 E Allegheny Ave |
$32.47 | 28 | 28 |
|
Stc Opco Llc
160 E Erie Ave |
$0.00 | 28 | 28 |
|
Hammad Rehman Amjad
500 E Godfrey Ave |
$20.07 | 30 | 30 |
|
Alecsandra Constantinescu
640 Snyder Ave |
$0.00 | 31 | 30 |
|
Public Health Mangement Corporation
501 S 54Th St |
$0.00 | 33 | 33 |
|
Alexander Sergey Litvinov
3223 N Broad St |
$28.39 | 36 | 36 |
|
R Blake Edmonds
1501 E Wadsworth Ave |
$23.31 | 36 | 36 |
|
Carlos Enrique Velez
309 Market St |
$36.00 | 38 | 38 |
|
Ajikwaga Batido Felli
432 N 6Th St |
$34.26 | 38 | 38 |
|
Tianyuan Shi
2010 S Juniper St |
$22.31 | 39 | 39 |
|
Danielle Nicole Litman
6801 Ridge Ave |
$22.71 | 44 | 44 |
|
Kenneth G Boberick
3223 N Broad St |
$25.80 | 44 | 43 |
|
City Of Philadelphia
321 W Girard Ave |
$0.00 | 44 | 43 |
|
Daniel Mariche-Poirot
1207 Chestnut St Fl 4 |
$23.22 | 47 | 45 |
|
Jooyeon Park
1207 Chestnut St Fl 4 |
$0.00 | 48 | 48 |
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