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 |
|---|---|---|---|
|
Erika Lashon Andrews
7157 Mary Peck Bond Pl |
$0.00 | 12 | 12 |
|
Joseph Felix Anthony Petrone
3501 Terrace Street |
$35.00 | 12 | 12 |
|
Van Miller
1955 Wharton St |
$30.00 | 12 | 12 |
|
Mary Ellen Cuccaro
7171 Churchland Street |
$0.00 | 12 | 12 |
|
Amanda Lynn Manning
180 Fort Couch Rd |
$20.00 | 13 | 13 |
|
Andrea Mulholland
320 E North Ave |
$22.82 | 13 | 13 |
|
Robert J Boyda
1910 Cochran Rd |
$56.00 | 14 | 13 |
|
Sara Safdari-Sadaloo
3955 Bigelow Blvd Apt 206 |
$34.00 | 14 | 14 |
|
University Of Pittsburgh - School Of Dental Medicine
3501 Terrace St |
$0.00 | 14 | 13 |
|
Rajeev Mahajan
3501 Terrace St |
$23.00 | 15 | 15 |
|
Shraddha Doshi
3501 Terrace St |
$26.93 | 15 | 15 |
|
Dattilo And Hall Llc
305 Mount Lebanon Blvd |
$18.67 | 15 | 15 |
|
Eugene Joseph Hester
7227 Hamilton Ave |
$0.00 | 16 | 16 |
|
Jeffrey H Frand
3424 William Penn Hwy |
$26.83 | 24 | 24 |
|
Primary Care Health Services, Inc.
7227 Hamilton Ave |
$0.00 | 25 | 25 |
|
John Paul Dunlap
976 Perry Hwy |
$22.93 | 26 | 26 |
|
Maria Eliopoulos
9022 Old Perry Hwy |
$21.37 | 26 | 26 |
|
Eric Ryan Smiga
180 Fort Couch Rd Ste 450 |
$34.05 | 26 | 26 |
|
Maher Khandji
615 Washington Rd |
$18.52 | 27 | 27 |
|
William Scott Poling
300 Weyman Rd Ste 260 |
$17.86 | 28 | 28 |
|
Samuel A Frank
455 Cochran Rd |
$0.00 | 30 | 30 |
|
Jocelyn Zuniga
221 Pen Avenue |
$0.00 | 30 | 30 |
|
County Of Allegheny
542 4Th Ave |
$24.84 | 31 | 31 |
|
Michael John Gans
1699 Washington Rd |
$20.81 | 37 | 37 |
|
Kathryn Faye Mcdonough
393 Vanadium Rd |
$18.42 | 38 | 38 |
|
Nicholas S Stebbins
3501 Terrace Street |
$46.67 | 38 | 37 |
|
Matilda Dhima
3501 Terrace St |
$26.43 | 43 | 43 |
|
Dana Bilohlavek
1014 Sheffield St |
$0.00 | 44 | 44 |
|
Wisam Sakr
125 6Th St |
$24.83 | 46 | 42 |
|
Joseph Adrian Perrone
3501 Terrace St |
$43.64 | 58 | 55 |
|
Lucia S Covato
816 Middle Street |
$0.00 | 59 | 59 |
|
Zena Germaine Jeffries
4929 Centre Ave |
$30.11 | 59 | 59 |
|
James Francis Petraglia
4751 Liberty Ave |
$27.47 | 60 | 60 |
|
Michael Allen Cuddy
3501 Terrace St. |
$32.03 | 61 | 60 |
|
Nicholas Lang
3501 Terrace St |
$52.26 | 64 | 64 |
|
Bryce Lawrence Hartman
5820 Centre Ave Ste 200 |
$45.31 | 65 | 65 |
|
Tina Marie Javorsky
Squirrel Hill Health Center |
$0.00 | 66 | 66 |
|
Michael J. Parenti
3501 Terrace St 2025 Salk Annex |
$21.66 | 67 | 67 |
|
Pechersky Valasek Llc
2345 Murray Ave Ste 220 |
$25.65 | 77 | 77 |
|
Sheila Ghanooni-Posin
East Liberty Family Health Care Center |
$0.00 | 78 | 77 |
|
Daniel Robert Hawkins
3501 Terrace Street Suite 3189 |
$17.38 | 78 | 78 |
|
Janice Marie Mcvay
17 Windsor Rd |
$30.33 | 78 | 78 |
|
Leon Williams
7227 Hamilton Ave |
$0.00 | 89 | 88 |
|
Youth Smiles Dental Center, Llc
5918 Penn Ave |
$18.32 | 92 | 92 |
|
Upmc Children'S Hospital Of Pittsburgh Dental Services
4401 Penn Ave |
$20.55 | 102 | 87 |
|
Thomas Monroe Hendley
2 Parkway Ctr Ste G1 |
$13.60 | 103 | 103 |
|
Ryan Seiavitch
5813 Centre Ave |
$20.93 | 107 | 107 |
|
Gary R Liberati
509 Long Rd |
$21.99 | 119 | 119 |
|
Elizabeth Fleming Franz
1630 Arlington Ave |
$29.32 | 121 | 118 |
|
Mark R Grenadier
4955 Steubenville Pike |
$54.59 | 127 | 124 |
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