Average Medicaid Dental Cleaning & Exam Payments in Salt Lake City, UT: $53.04
Avg. Paid
$53.04
Range
$1.77 – $421.11
Total Claims
185,928
Providers
80
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 Salt Lake City, UT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Audrey Sill
100 N Mario Capecchi Dr |
$27.88 | 20,414 | 19,924 |
|
Lawrence Clark Romney
525 E 100 S |
$37.85 | 18,901 | 17,666 |
|
Rose Park Pediatric Dentistry, Pc
55 N Redwood Rd Ste B |
$44.32 | 15,970 | 15,744 |
|
University Of Utah Dental Services
530 S Wakara Way |
$35.84 | 12,297 | 12,132 |
|
Banseh Naeim
7069 S Highland Dr Ste 200 |
$62.38 | 8,144 | 8,144 |
|
Big Smiles Utah P.C.
2825 E Cottonwood Pkwy |
$94.77 | 7,699 | 7,636 |
|
Treagan Nephi White
55 N Redwood Rd Ste B |
$42.69 | 7,503 | 7,436 |
|
Mitzi M Wasden
100 N Mario Capecchi Dr |
$8.62 | 6,420 | 6,298 |
|
State Of Utah, Department Of Health
Salt Lake Clinic - Family Dental Plan |
$85.82 | 6,189 | 5,705 |
|
Nathan Seymour Horton
1345 E 3900 S Ste 116 |
$34.84 | 5,925 | 5,903 |
|
Walker Dean Clark
100 N Mario Capecchi Dr |
$50.98 | 4,936 | 4,926 |
|
Ihc Health Services Inc
100 N Mario Capecchi Dr |
$52.03 | 4,209 | 4,140 |
|
Izzy Inc.
530 E 500 S |
$18.38 | 4,139 | 3,857 |
|
Confederated Tribes Of The Goshute Reservation
660 S 200 E Ste 250 |
$421.11 | 3,953 | 3,843 |
|
Creek Capital Cottonwood Llc
7050 S Highland Dr Ste 110 |
$48.60 | 3,825 | 3,776 |
|
Briant Stringham Romney
525 E 100 S |
$23.38 | 3,820 | 3,686 |
|
Hans Christian Reinemer
100 N Mario Capecchi Dr |
$56.34 | 3,393 | 3,347 |
|
Eric Michael Visser
1060 E 100 S Ste 205 |
$24.46 | 3,191 | 3,124 |
|
Lcr Dental Rose Park Llc
1409 W 1000 N |
$42.90 | 3,048 | 3,035 |
|
Barney T Olsen
100 N Mario Capecchi Dr |
$46.83 | 2,840 | 2,824 |
|
David Gustafson
1548 E 4500 S |
$27.12 | 2,707 | 2,693 |
|
Jami Ballantine
55 N Redwood Rd |
$48.18 | 2,559 | 2,553 |
|
Hanhngan H Nguyen-Tran
445 E 4500 S Ste 150 |
$146.22 | 2,309 | 2,027 |
|
Kristina Rogers
100 Mario Capecchi Dr |
$32.56 | 2,299 | 2,297 |
|
University Of Utah Dental Services
50 N Medical Dr |
$34.77 | 2,275 | 2,226 |
|
Lcr Dental Sugar House
2068 S 2100 E Suite #A |
$39.85 | 2,237 | 2,214 |
|
David J Hadley
660 S 200 E Ste 250 |
$94.65 | 2,216 | 2,183 |
|
Ryan Shane Dowling
2180 Fort Union Blvd |
$20.82 | 1,942 | 1,894 |
|
Whitney Aste
1548 E 4500 S Ste 104 |
$23.06 | 1,914 | 1,913 |
|
Thomas James Allen
4020 S 700 E Ste 4 |
$51.72 | 1,549 | 1,453 |
|
Corbin B Stringfellow
1345 E 3900 S Ste 208 |
$40.57 | 1,499 | 1,498 |
|
Allison Christine Gerlach
100 N Mario Capecchi Dr |
$32.63 | 1,485 | 1,465 |
|
Andrew Horton
100 N Mario Capecchi Dr |
$51.80 | 1,145 | 1,145 |
|
Mckinsee Broderick Weyher
2114 S Highland Dr |
$73.19 | 1,037 | 1,025 |
|
Daniel J. Bishop
2120 E 3900 S |
$68.72 | 898 | 828 |
|
Dustin J Hopkin
2180 E 4500 S Ste 285 |
$37.56 | 822 | 805 |
|
Glenn L Sands
1770 Fort Union Blvd Ste 201 |
$30.22 | 777 | 774 |
|
Richard A. Parkin
4046 Highland Dr Ste 113 |
$38.93 | 749 | 733 |
|
Morgan Elizabeth Karnath
100 N Mario Capecchi Dr |
$40.64 | 711 | 690 |
|
J. Joshua Smith
2180 E 4500 S |
$113.59 | 709 | 687 |
|
Brian Randle
1140 Brickyard Rd |
$77.54 | 698 | 697 |
|
Modern Dental Professionals Utah Pc
420 E South Temple |
$50.06 | 668 | 635 |
|
Nielson Kirk Ashton
2180 E 4500 S Ste 250 |
$112.49 | 619 | 606 |
|
Michael Edward Baker
4110 Highland Dr |
$21.02 | 534 | 520 |
|
Jeffery K. Rupp
1548 E 4500 S |
$18.73 | 501 | 490 |
|
Craig R. Proctor
2936 Highland Dr |
$36.31 | 443 | 434 |
|
Travis Michael Dixon
1230 S Redwood Rd |
$36.41 | 413 | 413 |
|
Brian Jankowski
2114 S Highland Dr |
$21.13 | 405 | 388 |
|
Marcy Allison Wells Rogers
1388 S Navajo St |
$34.77 | 269 | 269 |
|
Rebecca Arianne Schneider
409 W 400 S |
$21.06 | 250 | 229 |
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 Salt Lake City, UT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Salt Lake City, UT is $53.04 per claim, based on 185,928 claims from 80 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 Salt Lake City, UT?
There are 80 Medicaid providers offering Dental Cleaning & Exam related services in Salt Lake City, UT according to public payment data.
What is the price range for Dental Cleaning & Exam in Salt Lake City, UT?
Medicaid reimbursement for Dental Cleaning & Exam in Salt Lake City, UT ranges from $1.77 to $421.11 per claim, with an average of $53.04. 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
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