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 |
|---|---|---|---|
|
Donald Gary Tolboe
3195 S Main St |
$9.89 | 13 | 12 |
|
Arman Farhadtouski
168 N 1950 W |
$1.77 | 14 | 14 |
|
Jeffrey Steven Sperry
2000 S 1300 E |
$60.37 | 14 | 12 |
|
Dustin J Hopkin Dds, Oral And Maxillofacial Surgery P.C.
2180 E 4500 S Ste 285 |
$33.55 | 16 | 16 |
|
Kyle Thomas Curtis
160 S 1000 E Ste 230 |
$5.71 | 25 | 25 |
|
Steven Howard Pond
530 S Wakara Way |
$32.41 | 26 | 26 |
|
Scott Paul Cold
4546 S Atherton Dr Ste 201 |
$38.37 | 27 | 26 |
|
Kim James Michelson
1480 N 8000 W |
$18.79 | 28 | 28 |
|
Roger T Russell
1956 Berkeley St |
$21.69 | 29 | 25 |
|
Matthew N Maxfield
6710 S Blackstone Rd |
$254.73 | 33 | 32 |
|
Todd Miles
500 Foothill Dr |
$62.91 | 34 | 27 |
|
Blake Isaacson
2674 S 1800 E |
$48.05 | 42 | 42 |
|
Lisa M Swift
660 S 200 E Ste 250 |
$379.44 | 45 | 42 |
|
Hung Quoc Pham
50 N Medical Dr |
$78.35 | 48 | 48 |
|
Devin Joseph Burns
530 E 500 S |
$175.89 | 63 | 60 |
|
Shaylee Avery
168 N 1950 W |
$7.95 | 66 | 66 |
|
Main Street Dental Of Salt Lake City
3195 S Main St Ste 201 |
$29.68 | 67 | 64 |
|
Margaret Eleanor Bridget Liskutin
530 S Wakara Way |
$34.97 | 69 | 43 |
|
Enhance Dental- Trolley Place
530 E 500 S |
$41.88 | 70 | 61 |
|
Grant Matsuura
26 S 2000 E Suite 5900 |
$25.18 | 74 | 73 |
|
Tyler Bray
7138 S Highland Dr Ste 219 |
$23.30 | 81 | 74 |
|
Karishma Sitapara
2114 S Highland Dr |
$25.11 | 113 | 113 |
|
Denny N Cho
1400 S Foothill Dr Ste 36 |
$90.55 | 134 | 134 |
|
Aspire Surgical
6268 S 900 E |
$4.93 | 135 | 130 |
|
Daniel Rodriguez
660 S 200 E Ste 250 |
$168.84 | 144 | 139 |
|
Stephen J. Davis
3950 S 700 E |
$73.89 | 162 | 158 |
|
Justin Hansen
279 E 5900 S Ste 200 |
$50.68 | 208 | 196 |
|
Lc Dental Care Llc
3970 S 700 E |
$64.64 | 227 | 214 |
|
Clifford Sondrup
34 S 500 E Ste 202 |
$90.87 | 228 | 228 |
|
Ihc Health Services Inc
81 N Mario Capecchi Dr |
$69.30 | 238 | 238 |
|
Rebecca Arianne Schneider
409 W 400 S |
$21.06 | 250 | 229 |
|
Marcy Allison Wells Rogers
1388 S Navajo St |
$34.77 | 269 | 269 |
|
Brian Jankowski
2114 S Highland Dr |
$21.13 | 405 | 388 |
|
Travis Michael Dixon
1230 S Redwood Rd |
$36.41 | 413 | 413 |
|
Craig R. Proctor
2936 Highland Dr |
$36.31 | 443 | 434 |
|
Jeffery K. Rupp
1548 E 4500 S |
$18.73 | 501 | 490 |
|
Michael Edward Baker
4110 Highland Dr |
$21.02 | 534 | 520 |
|
Nielson Kirk Ashton
2180 E 4500 S Ste 250 |
$112.49 | 619 | 606 |
|
Modern Dental Professionals Utah Pc
420 E South Temple |
$50.06 | 668 | 635 |
|
Brian Randle
1140 Brickyard Rd |
$77.54 | 698 | 697 |
|
J. Joshua Smith
2180 E 4500 S |
$113.59 | 709 | 687 |
|
Morgan Elizabeth Karnath
100 N Mario Capecchi Dr |
$40.64 | 711 | 690 |
|
Richard A. Parkin
4046 Highland Dr Ste 113 |
$38.93 | 749 | 733 |
|
Glenn L Sands
1770 Fort Union Blvd Ste 201 |
$30.22 | 777 | 774 |
|
Dustin J Hopkin
2180 E 4500 S Ste 285 |
$37.56 | 822 | 805 |
|
Daniel J. Bishop
2120 E 3900 S |
$68.72 | 898 | 828 |
|
Mckinsee Broderick Weyher
2114 S Highland Dr |
$73.19 | 1,037 | 1,025 |
|
Andrew Horton
100 N Mario Capecchi Dr |
$51.80 | 1,145 | 1,145 |
|
Allison Christine Gerlach
100 N Mario Capecchi Dr |
$32.63 | 1,485 | 1,465 |
|
Corbin B Stringfellow
1345 E 3900 S Ste 208 |
$40.57 | 1,499 | 1,498 |
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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Avg $79.84
1,234,373 claims
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Avg $131.05
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Avg $66.10
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Avg $74.59
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Avg $91.97
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Avg $6.99
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