Average Medicaid Dental Cleaning & Exam Payments in Rancho Cucamonga, CA: $52.53
Avg. Paid
$52.53
Range
$0.00 – $76.11
Total Claims
242,737
Providers
76
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 Rancho Cucamonga, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elaine C. Ti
8221 Rochester Ave |
$0.00 | 14 | 13 |
|
Tehmina Fasih
10797 Foothill Blvd |
$52.50 | 14 | 14 |
|
Michael Azer
7270 Victoria Park Ln Ste 3A |
$66.00 | 17 | 17 |
|
Loretta Gilmore
9275 Baseline Rd |
$66.00 | 28 | 28 |
|
Oluwadayo O Oluwadara
9612 Foothill Blvd Ste 100 |
$20.09 | 36 | 36 |
|
Amber Paige Whitenhill
9130 Foothill Blvd |
$66.00 | 42 | 42 |
|
Pinky Penalosa
10801 Foothill Blvd |
$67.12 | 49 | 48 |
|
Jacob Matthew Simmons
7319 Milliken Ave Ste 110 |
$40.05 | 51 | 50 |
|
Eduardo Sandoval
8325 Haven Ave Ste 130 |
$61.72 | 55 | 55 |
|
Vivian Lim
7210 Day Creek Blvd Ste 110 |
$67.00 | 59 | 59 |
|
Jeffrey Scott Paxman
8112 Milliken Ave Suite 102 |
$64.92 | 61 | 61 |
|
Sarah A Yang
9310 Baseline Rd |
$76.11 | 63 | 63 |
|
Juan A. Camarena
8311 Haven Ave Ste 230 |
$53.45 | 94 | 94 |
|
Victor Eduardo Perez
10630 Town Center Dr Ste 125 |
$37.89 | 132 | 129 |
|
George Philip Hajjar
9000 Foothill Blvd Ste 114 |
$74.97 | 144 | 144 |
|
Jack Pai
10470 Foothill Blvd # 250 |
$70.25 | 162 | 162 |
|
Rebecca Lim
8678 19Th St |
$34.07 | 198 | 195 |
|
Mario James Ricciardi
8004 Haven Ave |
$34.15 | 207 | 207 |
|
Rima Melik-Bakhshyan
7369 Day Creek Blvd Ste F-103 |
$53.56 | 230 | 230 |
|
Ziad Hamid Aldabbi
7210 Day Creek Blvd |
$62.67 | 258 | 258 |
|
Parisa Gheidarpour
8599 Haven Ave Ste 105 |
$71.60 | 300 | 300 |
|
Andrea K Choi
10570 Foothill Blvd Ste 240 |
$55.85 | 320 | 320 |
|
Jin Soo Han
6331 Haven Ave |
$65.36 | 419 | 418 |
|
Rheanne Madison Gatmaitan
8678 19Th St |
$67.62 | 468 | 466 |
|
Boyan Todorov
9349 Foothill Blvd Ste B |
$44.72 | 468 | 460 |
|
Melva Sosa Wyatt
8004 Haven Ave |
$31.38 | 490 | 489 |
|
Lidya Khalil
11687 Mount Waverly Ct |
$65.20 | 534 | 526 |
|
Adrian Mobilia
10064 Arrow Rte |
$64.53 | 560 | 559 |
|
Adeline Tom
6795 Carnelian St |
$41.52 | 722 | 718 |
|
Ghazaleh Nouri
7319 Milliken Ave Ste 110 |
$70.46 | 747 | 746 |
|
Alexander Moqattash
8906 San Bernardino Rd Ste 130 |
$55.67 | 750 | 746 |
|
Jennifer Nowotney
11799 Sebastian Way Ste 103 |
$50.49 | 876 | 856 |
|
Jung Yeol Lee
10431 Lemon Ave Ste K |
$67.46 | 969 | 969 |
|
Yung Chun Chen
12453 Royal Oaks Dr |
$51.46 | 986 | 983 |
|
Parag S Patel
9275 Baseline Rd |
$61.33 | 1,014 | 1,006 |
|
Julia Eileen Brown
6331 Haven Blvd #12 |
$58.86 | 1,080 | 1,075 |
|
Jason Bo Lan
8750 19Th St |
$61.83 | 1,123 | 1,121 |
|
En Chen
12285 Baseline Road Suite 110 |
$66.30 | 1,144 | 1,144 |
|
Minh Truong
7890 Haven Ave Ste 3 |
$63.67 | 1,427 | 1,426 |
|
Kourosh Rogani Zadeh
10797 Foothill Blvd |
$61.06 | 1,569 | 1,543 |
|
Tariq Hafez Alsamaan
8906 San Bernardino Rd |
$61.73 | 1,648 | 1,640 |
|
Ehab N. Ateia
10399 Lemon Ave |
$45.33 | 2,193 | 2,190 |
|
Ali Amir Khan
7210 Day Creek Blvd Ste 110 |
$56.55 | 2,285 | 2,279 |
|
Maryam G Ateia
10399 Lemon Ave |
$58.75 | 2,292 | 2,288 |
|
Santosh Saremalji Solanki
9755 Arrow Rte |
$56.15 | 2,334 | 2,314 |
|
Janam Gill
12223 Highland Ave Ste 108 |
$60.84 | 2,496 | 2,496 |
|
Sami Ahmed Ali
9330 Baseline Rd Ste 101 |
$65.75 | 2,599 | 2,599 |
|
Christopher Spurgeon
8678 19Th St Ste 140 |
$45.44 | 2,702 | 2,605 |
|
Ana Liza Espiritu De Jesus
11450 Fallingstar Ct |
$56.28 | 3,001 | 2,994 |
|
Darryl L Morris
10165 Foothill Blvd Ste 23 |
$65.85 | 3,064 | 3,062 |
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 Rancho Cucamonga, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Rancho Cucamonga, CA is $52.53 per claim, based on 242,737 claims from 76 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 Rancho Cucamonga, CA?
There are 76 Medicaid providers offering Dental Cleaning & Exam related services in Rancho Cucamonga, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in Rancho Cucamonga, CA?
Medicaid reimbursement for Dental Cleaning & Exam in Rancho Cucamonga, CA ranges from $0.00 to $76.11 per claim, with an average of $52.53. 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
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Los Angeles, CA
Avg $49.60
3,990,780 claims · 877 providers
Houston, TX
Avg $39.95
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
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Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
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