Average Medicaid Dental Cleaning & Exam Payments in Racine, WI: $27.10
Avg. Paid
$27.10
Range
$0.00 – $49.43
Total Claims
140,599
Providers
21
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 Racine, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tawfiq S Nadi
4915 Washington Ave |
$21.74 | 30,121 | 28,210 |
|
Daniel Yeil Kim
5201 Washington Ave Ste A |
$27.70 | 25,585 | 22,957 |
|
Nicolet Derose
316 5Th St |
$31.72 | 22,443 | 21,564 |
|
Chris Mark Worth
5201 Washington Ave |
$31.84 | 17,479 | 16,751 |
|
Houssam Elchekha
4915 Washington Ave |
$26.14 | 11,382 | 10,880 |
|
Smita Kumar
4915 Washington Ave Ste B |
$22.00 | 8,262 | 7,647 |
|
Jessica Anna Thomas
5201 Washinton Ave Ste A |
$26.34 | 7,554 | 6,804 |
|
Buhisa Abdelkafi
5201 Washington Ave Ste A |
$29.97 | 5,008 | 4,606 |
|
Michelle Lee Fox
500 College Ave |
$27.19 | 3,822 | 3,571 |
|
Jennifer A Quizon
1320 S Greenbay Rd |
$21.12 | 1,818 | 1,776 |
|
Christopher Lehn
2405 Northwestern Ave |
$42.88 | 1,720 | 1,691 |
|
Jay M Oksiuta
1320 S Greenbay Rd |
$21.54 | 1,549 | 1,514 |
|
Lanphuong Nguyen
400 Lake Ave |
$26.98 | 1,065 | 1,013 |
|
Leslie M Hertz
3807 Spring St |
$17.25 | 863 | 821 |
|
Margaret Aboagye
400 Lake Ave |
$24.30 | 637 | 581 |
|
Ion Sochirca
5201 Washington Ave Suite A |
$31.30 | 505 | 503 |
|
Jeffrey George Zeller
1320 S. Green Bay Rd. |
$49.43 | 419 | 402 |
|
Scott W. Meyer
3807 Spring St |
$17.63 | 161 | 156 |
|
Familia Dental Racine Llc
5201 Washington Ave |
$0.00 | 126 | 118 |
|
Margaret M. Hennessy
3807 Spring St |
$23.99 | 68 | 65 |
|
George Milonas
3807 Spring St |
$29.07 | 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 Racine, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Racine, WI is $27.10 per claim, based on 140,599 claims from 21 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 Racine, WI?
There are 21 Medicaid providers offering Dental Cleaning & Exam related services in Racine, WI according to public payment data.
What is the price range for Dental Cleaning & Exam in Racine, WI?
Medicaid reimbursement for Dental Cleaning & Exam in Racine, WI ranges from $0.00 to $49.43 per claim, with an average of $27.10. 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
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Avg $10.30
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Avg $39.50
493,194 claims
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Avg $24.72
232,185 claims
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205,431 claims
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Avg $12.59
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Avg $9.40
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Avg $10.46
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Avg $20.59
151,984 claims