Average Medicaid Dental Cleaning & Exam Payments in Pottstown, PA: $12.40
Avg. Paid
$12.40
Range
$0.00 – $63.13
Total Claims
16,066
Providers
18
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 Pottstown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Health And Dental Care, Inc
351 W Schuylkill Rd |
$0.02 | 8,716 | 8,624 |
|
Crystal Yetter
351 W Schuylkill Rd Ste G-15A |
$24.42 | 1,871 | 1,265 |
|
Ava Selya
351 W Schuylkill Rd Ste G-15A |
$37.04 | 1,371 | 1,217 |
|
Community Health And Dental Care, Inc.
800 Heritage Dr |
$0.00 | 1,179 | 1,158 |
|
Pouyan Maany
933 N Charlotte St |
$28.10 | 802 | 793 |
|
John L. Lignelli
1630 E High St |
$62.17 | 374 | 369 |
|
Donald E Roland
500 Heritage Dr |
$62.42 | 318 | 317 |
|
Pottstown Pediatric Dentistry & Orthodontics Pc
625 N. Pottstown Pike |
$28.45 | 290 | 288 |
|
Janet Yushang Chang
1100 Town Square Rd |
$22.05 | 275 | 273 |
|
Paul G Smith
1630 E High St |
$63.13 | 222 | 221 |
|
Paula Vanessa Demings
351 W Schuylkill Rd Ste G-15A |
$0.00 | 187 | 187 |
|
Ankita Lulla
1867 E High St |
$24.51 | 154 | 154 |
|
Community Health And Dental Care, Inc
351 W Schuylkill Rd Ste G-15A |
$0.00 | 126 | 122 |
|
Joseph William Casey
1100 Town Square Rd |
$22.68 | 91 | 91 |
|
Sean Paresh Shukla
1590 Medical Dr Ste D |
$24.64 | 29 | 29 |
|
Kimberly Jacobs
1590 Medical Dr Ste C |
$37.24 | 25 | 25 |
|
Pyke Galletto Dental Associates Llp
1590 Medical Drive |
$46.00 | 24 | 24 |
|
Reeme Koppulli Sreedharan
351 W Schuylkill Rd Ste G-15A |
$0.00 | 12 | 12 |
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 Pottstown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Pottstown, PA is $12.40 per claim, based on 16,066 claims from 18 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 Pottstown, PA?
There are 18 Medicaid providers offering Dental Cleaning & Exam related services in Pottstown, PA according to public payment data.
What is the price range for Dental Cleaning & Exam in Pottstown, PA?
Medicaid reimbursement for Dental Cleaning & Exam in Pottstown, PA ranges from $0.00 to $63.13 per claim, with an average of $12.40. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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Avg $29.76
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Chicago, IL
Avg $29.66
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Los Angeles, CA
Avg $49.60
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New York, NY
Avg $30.52
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Avg $40.74
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