Average Medicaid Dental Cleaning & Exam Payments in San Bernardino, CA: $55.56
Avg. Paid
$55.56
Range
$0.00 – $71.83
Total Claims
488,065
Providers
92
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 San Bernardino, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Morgan
225 W Hospitality Ln Ste 104 |
$51.32 | 40,160 | 39,957 |
|
In Gi Son
1136 N Mount Vernon Ave |
$58.34 | 35,031 | 34,631 |
|
Wijaya Sulaeman
25054 Base Line St |
$53.32 | 28,619 | 28,510 |
|
Hovsep Nargizyan
1655 N. Mount Vernon Ave. |
$66.55 | 21,176 | 21,100 |
|
Mohammed Amir Khasru
2160 S Waterman Ave Ste A |
$55.45 | 20,377 | 20,270 |
|
Woo Yong Lee
1728 N D St |
$57.44 | 19,751 | 19,681 |
|
Tiffany Nguyen
1136 N Mount Vernon Ave # 202-203 |
$59.18 | 17,600 | 17,463 |
|
Adefunmilola Oriola
1909 N Waterman Ave |
$45.48 | 15,914 | 15,877 |
|
Vanessa Pulido Danier
225 W Hospitality Ln Ste 104 |
$53.41 | 15,795 | 15,765 |
|
Suneal P Naik
985 Kendall Dr |
$60.80 | 15,164 | 15,109 |
|
Han You Kim
164 W Hospitality Ln Ste 127 |
$65.10 | 12,843 | 12,834 |
|
Manuel Jean Ohannessian
654 W 4Th St Ste A |
$48.44 | 11,351 | 11,257 |
|
Soodong Kim
1728 N D St |
$48.49 | 10,947 | 10,942 |
|
Rosa M Alaniz
5835 N I St |
$53.30 | 10,677 | 10,613 |
|
Daniel Ninan
1454 E 2Nd St |
$41.80 | 10,008 | 9,994 |
|
Thanh Kim Pham
355 East 21St |
$52.46 | 9,117 | 9,010 |
|
Faustino Zuniga
322 N H St |
$41.86 | 8,449 | 8,430 |
|
Alfredo Velazquez
189 N E St |
$56.85 | 8,151 | 8,124 |
|
Lee Miyauchi
654 W 4Th St # A |
$60.25 | 8,118 | 8,081 |
|
Irving Moore Feldkamp Iii
164 W Hospitality Ln Ste 14 |
$66.64 | 8,085 | 8,063 |
|
Jeffrey J Kim
784 North D Street |
$58.55 | 8,081 | 8,044 |
|
Atul V Karia
4168 N Sierra Way |
$57.71 | 6,845 | 6,813 |
|
Michelle Kim-Anh Hoang
1655 N Mount Vernon Ave |
$61.72 | 6,446 | 6,432 |
|
Brian Chong-Han Kim
222 N G St |
$60.18 | 6,027 | 5,971 |
|
Ody Zoma
2094 E Highland Ave |
$54.10 | 5,774 | 5,768 |
|
James M Sumilat
2035 E Highland Ave Ste B |
$49.52 | 5,480 | 5,440 |
|
Myron Lloyd Massey
322 N H St |
$52.09 | 5,445 | 5,414 |
|
Jaehun Cho
599 Inland Center Dr Ste 110 |
$70.70 | 5,397 | 5,352 |
|
Hyun June Kim
1184 W 2Nd St |
$63.24 | 5,201 | 5,177 |
|
Elizabeth Brutus
2623 S Andrews Ln |
$68.37 | 5,143 | 5,101 |
|
Seena Boby
807 W Highland Ave |
$49.94 | 4,947 | 4,932 |
|
Vijay B. Patel
322 N H St |
$38.46 | 4,899 | 4,861 |
|
Wilson Boyd Baugh Jr
1897 N Waterman Ave |
$61.88 | 4,865 | 4,828 |
|
James Filippini Adame
2155 North Arrowhead Avenue |
$47.11 | 4,674 | 4,650 |
|
Manlio Fabio Orozco
555 S Mount Vernon Ave |
$53.60 | 4,653 | 4,649 |
|
Sanjay Vasangee Patel
234 N D St |
$59.88 | 4,534 | 4,532 |
|
Ryan Andrew Stitzinger
234 N D St |
$63.75 | 3,956 | 3,952 |
|
Yaczaira Perez
275 E 9Th St Ste L |
$59.30 | 3,712 | 3,695 |
|
Iliana Cuellar
1063 North D Street |
$47.26 | 3,627 | 3,619 |
|
Ethar Mustafa
985 Kendall Dr Ste B |
$66.28 | 3,546 | 3,532 |
|
Wagner De Luca Faria
143 N Plymouth Way |
$51.62 | 3,420 | 3,415 |
|
Dat Minh Vo
1470 E Highland Ave |
$63.63 | 3,339 | 3,326 |
|
Monica Eugenia Ramirez
555 South Mount Vernon Ave |
$36.83 | 3,225 | 3,215 |
|
Rosendo Garza
275 E 33Rd St |
$56.68 | 2,914 | 2,900 |
|
Tzu-Fei Chang
1199 N E St |
$53.31 | 2,859 | 2,855 |
|
Aaron Anthony Sulaeman
25054 Base Line St |
$48.91 | 2,835 | 2,834 |
|
Vahe Ohanesian
159 W Hospitality Ln |
$34.96 | 2,633 | 2,632 |
|
Pranee V Pooudomsak
1850 S Waterman Ave Ste B |
$61.29 | 2,624 | 2,624 |
|
Benjamin Garver
322 N H St |
$63.79 | 2,368 | 2,368 |
|
Luis Alfredo Velazquez
189 N E St |
$71.02 | 2,249 | 2,242 |
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 San Bernardino, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in San Bernardino, CA is $55.56 per claim, based on 488,065 claims from 92 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 San Bernardino, CA?
There are 92 Medicaid providers offering Dental Cleaning & Exam related services in San Bernardino, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in San Bernardino, CA?
Medicaid reimbursement for Dental Cleaning & Exam in San Bernardino, CA ranges from $0.00 to $71.83 per claim, with an average of $55.56. 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 San Bernardino, CA
Office Visit
Avg $36.81
2,587,883 claims
Blood Work & Lab Tests
Avg $4.08
760,642 claims
Urinalysis & Urine Tests
Avg $1.53
750,733 claims
Physical Therapy
Avg $20.29
660,829 claims
Vaccines & Immunizations
Avg $5.36
412,762 claims
Behavioral & Mental Health Therapy
Avg $216.22
382,252 claims
Psychiatric Evaluation
Avg $117.70
367,796 claims
Emergency Room Visit
Avg $230.79
364,892 claims