Average Medicaid Dental Cleaning & Exam Payments in Sacramento, CA: $32.44
Avg. Paid
$32.44
Range
$0.00 – $90.00
Total Claims
1,847,779
Providers
277
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 Sacramento, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David M. Chang
1355 Florin Rd |
$90.00 | 12 | 12 |
|
Samuel Sangjip Choi
3046 Watt Ave |
$83.08 | 13 | 13 |
|
Donald Fraser Lovett
1500 C Street |
$30.00 | 13 | 13 |
|
Garrett Adam Lee
8241 Bruceville Rd Ste 180 |
$57.12 | 13 | 13 |
|
Kim Chow
4136 E Commerce Way Ste 100 |
$66.00 | 15 | 15 |
|
Van Thi-Kim Phan
8324 Elk Grove Florin Rd |
$0.00 | 15 | 15 |
|
Health And Life Organization, Inc
2138 Del Paso Blvd |
$19.32 | 17 | 17 |
|
Jonathan Tangunan
1750 Wright St |
$0.00 | 29 | 25 |
|
Mustafa Alkasem
5336 Valparaiso Cir |
$66.00 | 31 | 31 |
|
Manpreet Kaur
6339 Mack Rd |
$0.00 | 32 | 32 |
|
Mohammad Ronaghi
3640 Crocker Dr |
$35.04 | 39 | 38 |
|
Pro Dental Group
1111 24Th St |
$0.00 | 41 | 39 |
|
James Beralde Barga
7850 Stockton Blvd |
$86.19 | 42 | 40 |
|
Hong-Hanh Thi Nguyen
7850 Stockton Blvd |
$42.18 | 48 | 47 |
|
Albert S Lee
1355 Florin Rd Ste 15 |
$71.24 | 49 | 49 |
|
Sonho Lee
1750 Wright St Ste A |
$23.80 | 63 | 54 |
|
Svetlana Nikolayevna Guevara-Lara
8211 Bruceville Rd Ste 155 |
$49.10 | 64 | 64 |
|
Aiman Abass Aboelala
5247 Elkhorn Blvd |
$29.94 | 66 | 65 |
|
Cherag Dinshaw Sarkari
3945 Marysville Blvd |
$26.41 | 73 | 73 |
|
Wellspace Health
10423 Old Placerville Rd Ste A |
$0.00 | 78 | 78 |
|
Sacramento Valley Pediatric Medical Group Inc.
7501 Hospital Dr |
$0.00 | 82 | 82 |
|
Glenn Alan Middleton
2322 Butano Dr |
$30.39 | 82 | 80 |
|
Hulda Kim
2200 Del Paso Blvd |
$0.00 | 86 | 86 |
|
Louis Kim Dds Inc.
4730 47Th Ave |
$0.00 | 86 | 84 |
|
Haleigh Elizabeth Lunason
2425 Stockton Blvd |
$22.34 | 91 | 79 |
|
Shirley L Thompson
1111 24Th St Ste 204 |
$64.69 | 98 | 98 |
|
Zain Ulabidin Choudhary
4801 Freeport Blvd |
$65.10 | 129 | 129 |
|
Sang Jun Park
3645 Northgate Blvd |
$65.75 | 130 | 130 |
|
Andrew Sean Barak
1315 Alhambra Blvd |
$68.47 | 131 | 131 |
|
Jaspreet Kaur
1701 Watt Ave |
$60.15 | 131 | 131 |
|
David Charles Sorensen
1111 24Th St |
$49.59 | 138 | 137 |
|
Marilou C. Tan
7850 Stockton Blvd |
$77.29 | 142 | 141 |
|
Sahand Soltani
5200 Stockton Blvd Ste 110 |
$88.39 | 147 | 146 |
|
Paula Ann Lee
1500 21St St |
$0.00 | 153 | 106 |
|
Gregory Chan
8211 Bruceville Rd Ste 155 |
$34.65 | 160 | 156 |
|
Kristin Anderson
8359 Elk Grove Florin Rd Ste 101 |
$78.95 | 161 | 159 |
|
Daniel C. Cheng
925 Secret River Dr Ste C |
$32.25 | 163 | 163 |
|
Stanley Jianfeng Huang
4617 Freeport Blvd |
$74.82 | 182 | 182 |
|
Andrea Barcelos Azevedo
1809 S St |
$49.05 | 187 | 187 |
|
Andy Sungmin Lee
3290 Arena Blvd Ste 610 |
$33.86 | 213 | 212 |
|
Lisa Vogue Machado
4100 E Commerce Way |
$0.49 | 243 | 240 |
|
Sangho Park Dds Inc.
3517 Marconi Ave Ste 104 And 105 |
$0.00 | 249 | 231 |
|
Pediatric Medical Associates Of Sacramento Inc
650 Howe Avenue |
$0.00 | 294 | 294 |
|
An-Shyang Tsai
7501 Hospital Dr |
$0.00 | 305 | 207 |
|
Jason Lim
4690 Natomas Blvd Ste 100 |
$15.75 | 311 | 309 |
|
Margaret Ann Anderson
1442 Ethan Way |
$1.14 | 322 | 320 |
|
Sooyong Kim
3307 Alta Arden Expy |
$31.90 | 327 | 327 |
|
Wisam Mohammed Imran Al Janabi
1701 Watt Ave |
$34.66 | 327 | 327 |
|
Sally C Chu
7317 L Arbre Way |
$52.90 | 330 | 324 |
|
Tam Ngoc Nguyen
7850 Stockton Blvd |
$16.88 | 335 | 327 |
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 Sacramento, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Sacramento, CA is $32.44 per claim, based on 1,847,779 claims from 277 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 Sacramento, CA?
There are 277 Medicaid providers offering Dental Cleaning & Exam related services in Sacramento, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in Sacramento, CA?
Medicaid reimbursement for Dental Cleaning & Exam in Sacramento, CA ranges from $0.00 to $90.00 per claim, with an average of $32.44. 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 Sacramento, CA
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Avg $3.77
18,102,975 claims
Office Visit
Avg $22.28
5,640,528 claims
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Avg $25.46
4,355,222 claims
Urinalysis & Urine Tests
Avg $1.87
3,071,398 claims
Emergency Room Visit
Avg $137.25
1,743,927 claims
X-Ray
Avg $22.15
1,649,168 claims
Vaccines & Immunizations
Avg $1.91
1,382,181 claims
Case Management Services
Avg $101.96
1,337,952 claims