Average Medicaid Dental Cleaning & Exam Payments in Saint Joseph, MI: $43.22
Avg. Paid
$43.22
Range
$7.83 – $96.99
Total Claims
6,590
Providers
17
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 Saint Joseph, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dentures&Dental For Smiles Plc
2990 Niles Rd |
$44.33 | 1,430 | 1,430 |
|
Gordon Sanghi Won
3901 Stonegate Park |
$33.17 | 1,196 | 1,192 |
|
Zachary Jacob Gomola
3386 Niles Rd |
$80.17 | 867 | 855 |
|
Craig C Brown Dmd & John C Luczak Dmd Pllc
2525 S Cleveland Ave |
$29.20 | 776 | 776 |
|
Charles Howenstine
3386 Niles Rd |
$31.34 | 710 | 710 |
|
Shreya Palyekar
2720 Woodgate Dr |
$41.78 | 579 | 572 |
|
Charles W Howenstine Dds Pllc
3386 Niles Rd |
$27.09 | 281 | 281 |
|
Lake Michigan Oral & Maxillofacial Surgery Pllc
3950 Hollywood Rd |
$63.58 | 209 | 209 |
|
Great Lakes Family Dental Group-St. Joseph
2525 S Cleveland Ave |
$22.16 | 148 | 148 |
|
Alexandria Gomola
3386 Niles Rd |
$96.99 | 111 | 111 |
|
Dr. David Ronto
480 Ansley Dr |
$25.96 | 108 | 108 |
|
Rudolf David Ronto
480 Ansley Dr |
$30.24 | 59 | 58 |
|
Lisa A Mcshane
2800 Niles Rd |
$30.32 | 50 | 50 |
|
Erik Blomquist
455 Upton Dr |
$7.83 | 29 | 29 |
|
John Marion Kim
3102 Niles Rd |
$65.00 | 13 | 13 |
|
John M Kim Dmd Pc
3102 Niles Rd |
$59.58 | 12 | 12 |
|
Anjana Gupta, Dds, Pllc
2800 Niles Road |
$25.67 | 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 Saint Joseph, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Saint Joseph, MI is $43.22 per claim, based on 6,590 claims from 17 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 Saint Joseph, MI?
There are 17 Medicaid providers offering Dental Cleaning & Exam related services in Saint Joseph, MI according to public payment data.
What is the price range for Dental Cleaning & Exam in Saint Joseph, MI?
Medicaid reimbursement for Dental Cleaning & Exam in Saint Joseph, MI ranges from $7.83 to $96.99 per claim, with an average of $43.22. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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Avg $29.76
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Chicago, IL
Avg $29.66
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Los Angeles, CA
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Avg $2.97
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Emergency Room Visit
Avg $115.50
466,205 claims
Office Visit
Avg $60.20
264,608 claims
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Avg $23.14
176,940 claims
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X-Ray
Avg $26.21
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