Average Medicaid Dental Cleaning & Exam Payments in Red Bank, NJ: $30.28
Avg. Paid
$30.28
Range
$10.34 – $45.38
Total Claims
28,089
Providers
11
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 Red Bank, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elliot Baron
50 Wallace St |
$23.88 | 8,539 | 8,455 |
|
Manpreet Kaur
326 Broad St |
$27.64 | 6,267 | 6,031 |
|
Children'S Dental Center Of Monmouth, Pa
2 Apple Farm Rd |
$45.38 | 5,415 | 5,415 |
|
Meridian Medical Group - Specialty Care, Pc
331 Newman Springs Rd Ste 220 |
$36.92 | 3,459 | 3,449 |
|
Anthony A. Testa
225 Highway 35 |
$24.05 | 2,893 | 2,860 |
|
Joseph Schwimmer
326 Broad St |
$10.34 | 514 | 279 |
|
Arthur Barocas
208 Maple Ave |
$34.46 | 405 | 390 |
|
Perfect Smile Dental Office Pc
326 Broad St |
$16.53 | 337 | 335 |
|
Thomas J Driscoll
258 Broad St |
$12.65 | 101 | 101 |
|
Marcus Santo
210 W Front St Ste 202 |
$23.80 | 89 | 84 |
|
Nilika Gulati
64 Bridge Ave # 66 |
$31.29 | 70 | 70 |
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 Red Bank, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Red Bank, NJ is $30.28 per claim, based on 28,089 claims from 11 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 Red Bank, NJ?
There are 11 Medicaid providers offering Dental Cleaning & Exam related services in Red Bank, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in Red Bank, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in Red Bank, NJ ranges from $10.34 to $45.38 per claim, with an average of $30.28. 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 Red Bank, NJ
Office Visit
Avg $45.66
216,539 claims
Psychiatric Evaluation
Avg $34.32
150,465 claims
Behavioral & Mental Health Therapy
Avg $32.62
143,476 claims
Blood Work & Lab Tests
Avg $5.57
115,937 claims
Case Management Services
Avg $38.37
99,847 claims
Home Health Visit
Avg $124.29
73,970 claims
Emergency Room Visit
Avg $208.20
71,589 claims
Substance Abuse Treatment
Avg $13.87
36,152 claims