Average Medicaid Dental Cleaning & Exam Payments in Pittsburgh, PA: $29.15
Avg. Paid
$29.15
Range
$0.00 – $56.00
Total Claims
324,693
Providers
146
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 Pittsburgh, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mukul Y Dave
4401 Penn Ave |
$7.33 | 30,536 | 29,324 |
|
Savannah Lancaster
4401 Penn Ave |
$33.22 | 27,954 | 27,950 |
|
Michelle Hershberger
5918 Penn Ave |
$25.99 | 24,687 | 24,598 |
|
Brian Stephen Martin
45Th And Penn Avenue |
$25.36 | 18,942 | 18,894 |
|
Thomas Henry Riccardi
3501 Terrace St |
$44.82 | 18,629 | 18,516 |
|
Danielle Cooper
3501 Terrace St |
$33.84 | 18,173 | 18,173 |
|
Brian Ast
7372 Mcknight Rd Ste B |
$45.58 | 16,502 | 16,401 |
|
Marnie Oakley
3501 Terrace Street |
$31.90 | 13,571 | 13,450 |
|
Amy Jo Scott
7227 Hamilton Ave |
$29.12 | 10,262 | 10,233 |
|
Anastasia Borisova Petkova
Dental Anesthesiology |
$31.23 | 9,927 | 9,851 |
|
Mary Chapman
4401 Penn Ave |
$25.15 | 7,495 | 7,483 |
|
Gail Kim
1580 Mclaughlin Run Rd |
$26.01 | 6,877 | 6,877 |
|
Ryan Michael Wolff
369 Butler Street |
$27.62 | 6,655 | 6,618 |
|
Priyanka Vaddi
1580 Mclaughlin Run Rd |
$27.76 | 6,630 | 6,597 |
|
James Joseph Rosen
680 Washington Road |
$31.46 | 6,359 | 6,355 |
|
Matthew A Mannella
4401 Penn Ave |
$51.97 | 6,193 | 5,904 |
|
Adam William Mychak
1408 East Carson St |
$26.18 | 5,707 | 5,694 |
|
Stephen George Dunn
1408 E Carson St |
$26.26 | 5,547 | 5,532 |
|
Cole B Conboy
300 Fleet St Ste 200 |
$34.16 | 5,420 | 5,033 |
|
Courtney Paige Uselton
1580 Mclaughlin Run Rd |
$26.08 | 5,233 | 5,231 |
|
Eric Rackley
101 Bradford Ave |
$34.19 | 5,138 | 5,137 |
|
Heather Ilycia Baumhardt
3Rd Floor Main Hospital Bldg |
$25.24 | 4,967 | 4,964 |
|
Salil Kawatra
1720 Washington Rd Ste 202 |
$45.82 | 4,506 | 4,198 |
|
Richard C. Ruffalo
1580 Mclaughlin Run Rd |
$26.97 | 4,394 | 4,382 |
|
Joshua Waskowitz
369 Butler Street |
$25.16 | 4,365 | 4,364 |
|
James Joseph Rosen
680 Washington Rd Ste 101 |
$35.14 | 3,446 | 3,438 |
|
Xiaohan Fan
242 S Highland Ave # 201 |
$25.39 | 2,779 | 2,770 |
|
David Mateer
1955 Wharton St |
$25.29 | 2,097 | 2,095 |
|
Alice Valenta
2416 Burham St |
$30.15 | 1,941 | 1,927 |
|
Metro Family Practice, Inc.
1789 S Braddock Ave |
$0.00 | 1,549 | 1,543 |
|
Michael John Wolff
369 Butler St |
$25.31 | 1,541 | 1,532 |
|
Kylie Dean Radigan
810 Clairton Blvd Ste 300 |
$28.99 | 1,507 | 1,507 |
|
Mark A. Mikus
9400 Mcknight Rd Ste 101 |
$25.66 | 1,465 | 1,450 |
|
Himabindu Nallari
1955 Wharton St |
$24.14 | 1,397 | 1,389 |
|
Bruno C. Conicella
701 Main St |
$26.12 | 1,340 | 1,340 |
|
Leslie A Wahl
4411 Stilley Rd |
$26.44 | 1,297 | 1,297 |
|
Katherine Marie Otto
1721 Cochran Rd |
$40.42 | 1,294 | 1,293 |
|
Pediatric Dentistry South
1580 Mclaughlin Run Rd |
$30.20 | 1,198 | 1,196 |
|
Robert John Boyda
1910 Cochran Rd |
$23.42 | 1,155 | 1,113 |
|
Elizabeth Laura Anistranski
4200 Brownsville Rd |
$25.67 | 1,072 | 1,068 |
|
Kristin Marie Horvath
734 W Ingomar Rd |
$26.26 | 1,052 | 1,032 |
|
Dennis D Garrow
500 S Aiken Ave |
$25.09 | 948 | 934 |
|
Richard Wayne Garrity
242 S Highland Ave |
$24.94 | 945 | 944 |
|
Bruce David Cohen
344 Center Ave |
$24.75 | 925 | 918 |
|
Dina Khadder
2020 Ardmore Blvd Ste 169 |
$55.66 | 866 | 866 |
|
Tao Jiang
6301 Forbes Ave Ste 102 |
$23.84 | 847 | 845 |
|
Gina Rose Bufalini
101 Drake Rd |
$28.15 | 824 | 820 |
|
Ali Alexander Suarez
4516 Browns Hill Rd |
$0.17 | 817 | 812 |
|
Phyllis Callahan Lee
603 Washington Rd |
$27.51 | 792 | 792 |
|
Kristin Ruth Best
5917 Walnut St |
$25.68 | 680 | 680 |
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 Pittsburgh, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Pittsburgh, PA is $29.15 per claim, based on 324,693 claims from 146 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 Pittsburgh, PA?
There are 146 Medicaid providers offering Dental Cleaning & Exam related services in Pittsburgh, PA according to public payment data.
What is the price range for Dental Cleaning & Exam in Pittsburgh, PA?
Medicaid reimbursement for Dental Cleaning & Exam in Pittsburgh, PA ranges from $0.00 to $56.00 per claim, with an average of $29.15. 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 Pittsburgh, PA
Blood Work & Lab Tests
Avg $12.74
5,898,610 claims
Office Visit
Avg $58.11
1,594,344 claims
Emergency Room Visit
Avg $104.00
1,342,847 claims
Urinalysis & Urine Tests
Avg $4.28
839,744 claims
X-Ray
Avg $8.11
814,115 claims
Culture & Microbiology Tests
Avg $5.35
530,883 claims
Physical Therapy
Avg $57.35
415,480 claims
EKG / ECG (Electrocardiogram)
Avg $8.10
404,951 claims