Average Medicaid Dental Cleaning & Exam Payments in Rochester Hills, MI: $48.13
Avg. Paid
$48.13
Range
$2.00 – $63.58
Total Claims
45,330
Providers
24
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 Rochester Hills, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Arnold Tracht, Dds Pc
1814 S Rochester Rd |
$37.41 | 21,551 | 21,531 |
|
Brandon Spencer
795 Shelley Dr. |
$63.58 | 17,668 | 17,142 |
|
Thomas Chae Dds, Ms & Sophia Huynh, Dds, Ms Pllc
989 South Blvd E Ste 110 |
$45.28 | 3,114 | 3,110 |
|
Toral Gandhi Joshi
1814 S Rochester Rd |
$31.60 | 942 | 919 |
|
David S. Muir, Dds Pllc
1202 Walton Blvd Ste 213 |
$37.96 | 750 | 750 |
|
Martin Andrew Stern
989 South Blvd E Ste 110 |
$42.16 | 374 | 374 |
|
Omfs Enterprises Pllc
3950 S Rochester Rd Ste 2500 |
$60.60 | 216 | 216 |
|
Lisa Goldberg
1814 S Rochester Rd |
$38.41 | 124 | 124 |
|
Elizabeth Hackett Smith
1814 S Rochester Rd |
$33.95 | 84 | 84 |
|
Anshita Agarwal
9 North Plaza Blvd |
$28.39 | 79 | 71 |
|
Daniel Michael Briskie
1814 S Rochester Rd |
$30.32 | 74 | 74 |
|
Noble Care Dental Group Pc
2970 Crooks Rd Ste B |
$35.91 | 57 | 57 |
|
Kimberly Ann Orr-Sicilia
1814 S Rochester Rd |
$28.72 | 57 | 57 |
|
Raya Flayeh
2970 Crooks Rd |
$27.69 | 55 | 55 |
|
David Scott Muir
1202 Walton Blvd Ste 213 |
$37.20 | 41 | 41 |
|
Matthew Aaron Papsin
1000 W University Dr Ste 316 |
$34.26 | 27 | 27 |
|
Arnold L Tracht
1814 S Rochester Rd |
$42.31 | 26 | 26 |
|
Shakeel A Niazi Dds Pc
1390 W Auburn Rd |
$30.25 | 14 | 14 |
|
Brock Charles Mckinley
3950 S Rochester Rd Ste 2500 |
$2.00 | 14 | 14 |
|
James Philip Thomas
480 W Tienken Rd Ste C |
$47.51 | 13 | 12 |
|
Shakeel Ahmed Niazi
1390 W Auburn Rd |
$28.00 | 13 | 13 |
|
Rochester Endodontics, Pllc
480 W Tienken Rd Ste C |
$63.46 | 13 | 12 |
|
Nael M Meri
75 Barclay Circle Suite 110 |
$28.00 | 12 | 12 |
|
Gregory J. Mansour, D.D.S., P.C.
1800 W Auburn Rd |
$27.73 | 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 Rochester Hills, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Rochester Hills, MI is $48.13 per claim, based on 45,330 claims from 24 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 Rochester Hills, MI?
There are 24 Medicaid providers offering Dental Cleaning & Exam related services in Rochester Hills, MI according to public payment data.
What is the price range for Dental Cleaning & Exam in Rochester Hills, MI?
Medicaid reimbursement for Dental Cleaning & Exam in Rochester Hills, MI ranges from $2.00 to $63.58 per claim, with an average of $48.13. 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
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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
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San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
Other Procedures in Rochester Hills, MI
Office Visit
Avg $62.20
260,233 claims
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Avg $6.17
81,885 claims
Physical Therapy
Avg $28.96
79,816 claims
Psychiatric Evaluation
Avg $76.78
42,956 claims
Blood Work & Lab Tests
Avg $6.60
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Durable Medical Equipment (DME)
Avg $37.03
28,732 claims
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Avg $2.84
20,902 claims
Behavioral & Mental Health Therapy
Avg $96.76
10,453 claims