Average Medicaid Dental Cleaning & Exam Payments in Pittsford, NY: $35.60
Avg. Paid
$35.60
Range
$0.00 – $53.30
Total Claims
63,756
Providers
15
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 Pittsford, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Gerard Klein
1000 Pittsford Victor Rd |
$38.23 | 11,017 | 11,010 |
|
Azita Anissi
121 Sully'S Trail |
$40.49 | 10,311 | 10,304 |
|
Doron Kochman
90 Office Pkwy |
$35.14 | 7,528 | 7,526 |
|
Tyger Foster
145 Sullys Trl |
$34.33 | 6,768 | 6,767 |
|
Erica Dimarco
145 Sullys Trl Ste 1 |
$34.25 | 6,674 | 6,673 |
|
Lindsey Behrman
90 Office Pkwy |
$43.87 | 5,370 | 5,056 |
|
Adam Joshua Smith
135 Sullys Trl |
$26.15 | 5,303 | 4,929 |
|
Helen Ying Luu
3592 Monroe Ave |
$27.16 | 4,710 | 4,513 |
|
Lynne G Halik
145 Sullys Trl |
$31.47 | 3,521 | 3,519 |
|
Rochester Pediatric Dentistry Pllc
145 Sullys Trl Ste 1 |
$35.12 | 1,708 | 1,708 |
|
Jack Michael Dorkhom
101 Sully'S Trl |
$53.30 | 394 | 394 |
|
Allison Manly Cohen
3592 Monroe Ave |
$37.25 | 180 | 180 |
|
Thomas John Destefano
600 Kreag Rd |
$36.03 | 133 | 133 |
|
Jack M. Dorkhom, Dmd, Pllc
101 Sullys Trl |
$0.00 | 126 | 125 |
|
Matthew Owen Schwedfeger
20 N Main St |
$25.43 | 13 | 13 |
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 Pittsford, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Pittsford, NY is $35.60 per claim, based on 63,756 claims from 15 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 Pittsford, NY?
There are 15 Medicaid providers offering Dental Cleaning & Exam related services in Pittsford, NY according to public payment data.
What is the price range for Dental Cleaning & Exam in Pittsford, NY?
Medicaid reimbursement for Dental Cleaning & Exam in Pittsford, NY ranges from $0.00 to $53.30 per claim, with an average of $35.60. 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 Pittsford, NY
Office Visit
Avg $70.29
51,966 claims
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Avg $58.14
22,499 claims
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Avg $102.15
14,853 claims
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Avg $65.99
6,560 claims
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Avg $76.86
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Avg $42.64
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Avg $100.85
4,636 claims
Vaccines & Immunizations
Avg $21.00
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