Average Medicaid Dental Cleaning & Exam Payments in Rochester, NY: $33.99
Avg. Paid
$33.99
Range
$0.00 – $74.27
Total Claims
625,664
Providers
168
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, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen L Ruchlin
300 White Spruce Blvd |
$27.55 | 12 | 12 |
|
Kenneth D. Nozik
935 E Henrietta Rd |
$39.90 | 13 | 13 |
|
Mandana Hashemi
625 Elmwood Ave |
$17.51 | 15 | 15 |
|
Small To Tall, Dentistry For Children, Pllc
3171 Chili Ave Ste 400 |
$28.50 | 15 | 15 |
|
Julie Ann Cianciola Beach
368 Elmridge Center Dr |
$54.15 | 16 | 16 |
|
Charles Burchfield
2024 W Henrietta Rd Ste 5J |
$21.71 | 24 | 16 |
|
Pei-Wei Linda Lin
2655 Ridgeway Ave Ste 360 |
$0.00 | 25 | 25 |
|
Malcolm M Musiker
1875 Hudson Ave |
$27.55 | 25 | 25 |
|
Anthony Richard Mesolella
2081 W Ridge Rd Ste 204 |
$41.86 | 26 | 26 |
|
Michael Baleno
1950 S Clinton Ave |
$34.75 | 26 | 26 |
|
Junad Khan
University Of Rochester |
$0.54 | 26 | 26 |
|
Christopher Calnon
3220 Chili Ave |
$3.22 | 27 | 27 |
|
Lester Joseph Abbamonte
4343 Dewey Ave |
$34.32 | 31 | 31 |
|
William J Schoepfel
1730 Ridge Rd E |
$33.06 | 39 | 39 |
|
Xiuxin Liu
625 Elmwood Ave |
$48.38 | 40 | 40 |
|
Benjamin Hardyk
625 Elmwood Ave # 683 |
$34.22 | 56 | 56 |
|
Rene Yabar
625 Elmwood Ave # 683 |
$30.70 | 59 | 59 |
|
David Mark Attardi
1338 Ridge Rd E |
$33.52 | 60 | 60 |
|
Sue Anne Barron
990 South Ave |
$0.45 | 64 | 64 |
|
Kenneth Gerace
294 Dearcop Dr |
$50.17 | 66 | 66 |
|
Dwight Brown
728 E Ridge Rd |
$0.00 | 68 | 46 |
|
Garima Naresh
2300 Buffalo Rd #800A |
$16.53 | 80 | 80 |
|
David P. Durr
2061 Ridge Rd W |
$38.47 | 81 | 81 |
|
Chaya P Carl
89 Genesee St |
$12.85 | 82 | 81 |
|
Oliver Guillermo Cabrera
1425 Portland Ave |
$33.56 | 83 | 83 |
|
Kyle Kenyon
1950 S Clinton Ave |
$33.38 | 104 | 104 |
|
Russell Stephen Miller
1815 Clinten Ave South |
$41.57 | 107 | 107 |
|
Kefaia Abdalkader
75 Genesee St |
$41.64 | 109 | 109 |
|
Caitlin Elizabeth Hoffman
1081 Long Pond Rd |
$30.80 | 111 | 111 |
|
Mary Catherine Harrison
2480 Browncroft Blvd |
$30.00 | 115 | 115 |
|
Marc Malatesta
3770 Mount Read Blvd |
$29.13 | 117 | 117 |
|
Erinn Elizabeth Enany
625 Elmwood Ave # 683 |
$29.97 | 118 | 118 |
|
Carlos Henrique Loureiro Xavier
625 Elmwood Ave # 683 |
$29.89 | 124 | 124 |
|
Robert J Buhite
1295 Portland Ave |
$31.87 | 126 | 126 |
|
Patrick John Welsh
1500 Clinton Ave S |
$40.57 | 139 | 139 |
|
Faith Botana
295 Monroe Ave |
$43.69 | 141 | 141 |
|
Nirali Pandya
1455 E Ridge Rd |
$37.95 | 145 | 145 |
|
Violeta Ivonne Garcia-Lepore
2425 Clover St |
$31.92 | 148 | 148 |
|
John A Bacchetta
1300 Jefferson Rd Ste 300 |
$37.47 | 177 | 177 |
|
Todd Richard Pedersen
1425 Portland Ave |
$35.37 | 187 | 187 |
|
United Cerebral Palsy Association Of The Rochester Area, Inc.
3399 Winton Rd S |
$41.91 | 187 | 187 |
|
Tal Rapoport
625 Elmwood Ave |
$0.67 | 195 | 195 |
|
Ali Ghorbani Gazar
625 Elmwood Ave |
$33.72 | 209 | 209 |
|
Daniel Kloc
1425 Portland Ave |
$40.64 | 234 | 233 |
|
Julian Kahn Pasco
1960 Clinton Ave S |
$38.61 | 238 | 238 |
|
Carmen Maria Benitez
2164 Hudson Avenue |
$34.41 | 281 | 227 |
|
Daniel Paul Barletta
1101 English Rd |
$33.91 | 303 | 303 |
|
Brenda Stephanie Ramos
2066 Hudson Ave |
$42.73 | 317 | 316 |
|
Ahmed Alsayed
625 Elmwood Ave |
$22.00 | 321 | 314 |
|
Konstantina Tzouma
625 Elmwood Ave # 683 |
$39.52 | 322 | 322 |
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, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Rochester, NY is $33.99 per claim, based on 625,664 claims from 168 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, NY?
There are 168 Medicaid providers offering Dental Cleaning & Exam related services in Rochester, NY according to public payment data.
What is the price range for Dental Cleaning & Exam in Rochester, NY?
Medicaid reimbursement for Dental Cleaning & Exam in Rochester, NY ranges from $0.00 to $74.27 per claim, with an average of $33.99. 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 Rochester, NY
Home Health Visit
Avg $155.96
4,468,559 claims
Blood Work & Lab Tests
Avg $13.58
3,406,771 claims
Office Visit
Avg $80.81
3,372,720 claims
Emergency Room Visit
Avg $129.50
1,243,277 claims
Case Management Services
Avg $416.23
1,188,020 claims
Psychiatric Evaluation
Avg $142.49
1,087,559 claims
Substance Abuse Treatment
Avg $66.55
788,422 claims
Physical Therapy
Avg $59.14
727,107 claims