Average Medicaid Dental Cleaning & Exam Payments in Rockford, IL: $30.40
Avg. Paid
$30.40
Range
$0.00 – $87.99
Total Claims
556,400
Providers
54
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 Rockford, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shweta Patel
6215 E State St |
$33.64 | 79,258 | 77,377 |
|
Hemina Bharatrai Desai
1200 W State St |
$33.31 | 48,036 | 46,409 |
|
Marc Wasserman
7318 Argus Dr |
$33.98 | 46,644 | 44,026 |
|
Jason Michael Grinter
275 N Phelps Ave |
$31.86 | 46,217 | 44,246 |
|
Wei Gao
318 College Ave |
$27.57 | 41,656 | 39,914 |
|
Aashna Saurabh Bhow
3502 E State St |
$31.05 | 30,671 | 29,073 |
|
Nikhar D Shah
845 S Perryville Rd Unit 127 |
$30.87 | 27,327 | 25,881 |
|
Henry Cyrus Oates
3957 N Mulford Rd Ste A |
$34.50 | 23,956 | 23,408 |
|
Sima Sam
1200 W State St |
$33.56 | 23,551 | 22,808 |
|
Crusaders Central Clinic Association
1200 W State St |
$9.47 | 21,401 | 20,939 |
|
Crusaders Central Clinic Association
1100 Broadway |
$0.00 | 18,813 | 18,312 |
|
Taha Mirza
845 S Perryville Rd |
$31.50 | 15,912 | 15,311 |
|
Duane D Hansen
810 N Alpine Rd |
$29.07 | 14,264 | 13,766 |
|
Lois Mary Sunny
845 S Perryville Rd Unit 127 |
$33.30 | 13,227 | 12,829 |
|
Henry Hackney
845 S Perryville Rd |
$30.51 | 12,391 | 11,937 |
|
Aqil Valika
6215 E State St |
$28.99 | 9,537 | 8,777 |
|
Alex Mccoy Daniel
6215 E State St |
$30.67 | 7,188 | 6,828 |
|
Kehinde John Fasanya
6215 E State St |
$27.99 | 6,429 | 6,166 |
|
Nimrata Pandher
1200 W State St |
$29.93 | 6,248 | 5,959 |
|
Christopher Lee Greenwaldt
6050 Brynwood Dr Ste 205 |
$0.78 | 5,825 | 5,165 |
|
Edwin Gonzalez Montoya
6585 E State St |
$43.48 | 4,636 | 4,466 |
|
Tejal Patel
845 S Perryville Rd Unit 127 |
$22.86 | 4,584 | 4,311 |
|
Dina Girgis
1200 W State St |
$68.10 | 4,339 | 4,147 |
|
Kunal Bector
845 S Perryville Rd Unit 127 |
$33.52 | 3,987 | 3,967 |
|
Yu-Jin Lee
6215 E State St |
$33.64 | 3,537 | 3,419 |
|
Kashyap Maddali
1301 N Alpine Rd |
$36.38 | 3,482 | 3,190 |
|
June Upshaw Lallas
1200 W State St |
$62.99 | 3,216 | 3,087 |
|
Thomas Lee
1200 W State St |
$28.52 | 2,994 | 2,541 |
|
Nirali Patel
845 S Perryville Rd Unit 127 |
$34.30 | 2,766 | 2,764 |
|
Ribhi Salamah
3502 E State St |
$33.03 | 2,738 | 2,735 |
|
Kurtis E Wirth
1107 S Mulford Rd |
$35.90 | 2,625 | 2,532 |
|
Sara Zeidan
6215 E State St |
$26.78 | 2,437 | 2,191 |
|
Zachary David Sekulich
6215 E State St |
$29.81 | 2,419 | 2,406 |
|
Cynthia Uwase
1200 W State St |
$43.21 | 2,145 | 1,994 |
|
Bart J. Paul
1957 Pawlisch Dr |
$33.57 | 2,114 | 2,041 |
|
Jamie Lynn Milos
129 Phelps Ave Ste 307 |
$29.44 | 1,746 | 1,686 |
|
Valeriya Predenko
1200 W State St |
$64.83 | 1,657 | 1,620 |
|
Ulka A Patel
1301 N Alpine Rd |
$35.17 | 1,503 | 1,392 |
|
Dong Hyun Yoo
6215 E State St |
$27.00 | 1,196 | 1,174 |
|
Amanda L Thornton Morken
3065 N Perryville Rd |
$34.25 | 679 | 651 |
|
Mark Alan Milani
4777 E State St |
$27.09 | 472 | 459 |
|
Roxana Elena Dirla
6215 E State St |
$26.74 | 454 | 452 |
|
Huma Covut
5876 E State St |
$33.80 | 425 | 425 |
|
Isabella Patricia Newcomer
1200 W State St |
$31.22 | 354 | 336 |
|
Raymond Y Hong
5876 E State St |
$29.42 | 348 | 348 |
|
Zhichun Yu
6215 E State St |
$46.89 | 320 | 320 |
|
Cristian German Lofvall
1200 W State St |
$87.99 | 203 | 202 |
|
Mehak Gul Haq
7310 Walton St |
$33.88 | 132 | 132 |
|
Holly Jane Bartman
1200 W State St |
$21.58 | 123 | 121 |
|
John A Moody
4040 Morsay Dr |
$16.86 | 106 | 67 |
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 Rockford, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Rockford, IL is $30.40 per claim, based on 556,400 claims from 54 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 Rockford, IL?
There are 54 Medicaid providers offering Dental Cleaning & Exam related services in Rockford, IL according to public payment data.
What is the price range for Dental Cleaning & Exam in Rockford, IL?
Medicaid reimbursement for Dental Cleaning & Exam in Rockford, IL ranges from $0.00 to $87.99 per claim, with an average of $30.40. 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
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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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Avg $30.80
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