Average Medicaid Dental Cleaning & Exam Payments in Phillipsburg, NJ: $27.46
Avg. Paid
$27.46
Range
$0.00 – $43.91
Total Claims
145,792
Providers
13
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 Phillipsburg, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dental Health Associates Pa
320 South Main Street |
$26.01 | 72,402 | 71,996 |
|
Mihir M Patel
320 S Main St |
$25.38 | 20,067 | 20,046 |
|
Robert Joseph Lo Giudice
755 Memorial Pkwy |
$31.51 | 13,049 | 12,522 |
|
Robert Baskies
320 S Main St |
$24.84 | 10,323 | 10,201 |
|
Monica Kachwalla
320 S Main St |
$24.76 | 10,059 | 9,939 |
|
Hitesh Rathod
500 Coventry Dr |
$42.50 | 9,862 | 9,739 |
|
Adaptive Dental Associates Llc
755 Memorial Pkwy |
$23.83 | 4,356 | 4,349 |
|
Joseph John Maggio
755 Memorial Pkwy |
$29.79 | 1,925 | 1,923 |
|
Rathod And Associates Pa
500 Coventry Drive |
$43.91 | 1,849 | 1,844 |
|
Tamara Brown
320 S Main Street |
$15.49 | 1,477 | 1,410 |
|
Phillipsburg Endodontics
835 Belvidere Rd |
$22.90 | 241 | 230 |
|
Meghna Desai
755 Memorial Pkwy |
$28.33 | 142 | 142 |
|
Ch Ambulatory Surgery Center Of Lopatcong Llc
212 Red School Ln |
$0.00 | 40 | 35 |
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 Phillipsburg, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Phillipsburg, NJ is $27.46 per claim, based on 145,792 claims from 13 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 Phillipsburg, NJ?
There are 13 Medicaid providers offering Dental Cleaning & Exam related services in Phillipsburg, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in Phillipsburg, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in Phillipsburg, NJ ranges from $0.00 to $43.91 per claim, with an average of $27.46. 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
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San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
Other Procedures in Phillipsburg, NJ
Blood Work & Lab Tests
Avg $3.85
139,881 claims
Physical Therapy
Avg $28.56
118,660 claims
Emergency Room Visit
Avg $265.62
101,867 claims
Office Visit
Avg $43.59
90,294 claims
Psychiatric Evaluation
Avg $94.95
81,199 claims
Dental Filling
Avg $54.61
54,756 claims
X-Ray
Avg $15.59
48,348 claims
Urinalysis & Urine Tests
Avg $2.08
35,837 claims