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 |
|---|---|---|---|
|
Carlos Leoncio Torres
1755 N D St |
$66.00 | 12 | 12 |
|
Roxana Pomeroy
1454 E 2Nd St |
$45.00 | 13 | 13 |
|
Jose M Martorell
164 W Hospitality Ln Ste 14 |
$66.00 | 13 | 13 |
|
Jing Lin
2210 E Highland Ave Ste 108 |
$66.00 | 14 | 14 |
|
Darshan Ajitkumar Patel
1353 W Mill St Ste 114 |
$35.00 | 15 | 15 |
|
Ahmad Matin Rasul
159 W Hospitality Ln Ste 201 |
$33.60 | 25 | 24 |
|
Katie Y. Kim
1199 N E St |
$61.26 | 40 | 40 |
|
Max J Quezada
3972 N Waterman Ave |
$66.00 | 58 | 58 |
|
Yintawati A Satyarahardja
1199 N E St |
$71.83 | 60 | 60 |
|
Sarah Chilmeran
1848 Commercenter E |
$66.00 | 71 | 71 |
|
Grace Tolentino Sanchez
362 East Vanderbilt Way |
$57.93 | 75 | 75 |
|
Michael Eugine Myers
2130 N Arrowhead Ave |
$63.87 | 108 | 108 |
|
Antoine O. Sourialle
399 E Highland Ave Ste 120 |
$50.50 | 119 | 119 |
|
Kimberly Ann Aronson
2210 E Highland Ave |
$0.00 | 121 | 121 |
|
Alenda Luptrawan
665 N D St |
$0.00 | 144 | 144 |
|
Melquiades Fronda
2102 N Arrowhead Ave |
$45.41 | 146 | 146 |
|
Yanina Chambi
985 Kendall Dr Ste B |
$48.19 | 187 | 187 |
|
Mike Xing
25054 Base Line St |
$64.55 | 227 | 227 |
|
Meryam Abdul Rassool
164 W Hospitality Ln Ste 1A |
$45.27 | 353 | 353 |
|
Ian Shwartzman
330 N D St |
$65.41 | 464 | 460 |
|
Alyson Drew
1905 Business Center Dr |
$67.61 | 528 | 527 |
|
Darron Ikari Miya
159 W Hospitality Ln |
$34.80 | 532 | 530 |
|
Ahmed M. Naji
1799 N Waterman Ave Ste E |
$69.87 | 638 | 636 |
|
Nicholas Dawei Zhang
1199 N E St |
$64.66 | 799 | 798 |
|
Michael Diaz
242 E Airport Dr Ste 100 |
$5.20 | 866 | 864 |
|
Freddy Zambrano
1666 Medical Center Dr Ste 3 |
$65.17 | 867 | 867 |
|
Roland Paul Williams
1655 N Mount Vernon Ave |
$68.48 | 921 | 920 |
|
Alison Perez
250 S G St |
$0.00 | 937 | 936 |
|
Esther Song
2672 S Carl Pl |
$41.28 | 950 | 950 |
|
Sahyli Veronice Lubo
1353 W Mill St. |
$44.08 | 982 | 982 |
|
Sean Lee
4016 University Pkwy |
$42.88 | 982 | 979 |
|
Andrea Julia Mobilia
4168 N Sierra Way |
$46.53 | 1,082 | 1,076 |
|
Sandra Azer Shenouda
1199 N E St |
$57.87 | 1,175 | 1,175 |
|
Bao Lou Nguyen
2150 N Waterman Ave |
$52.80 | 1,331 | 1,322 |
|
Sam Daniel Dason
575 W 5Th Street |
$60.15 | 1,377 | 1,369 |
|
Joraldine Alas Feliciano
164 W Hospitality Ln Ste 127 |
$67.78 | 1,579 | 1,577 |
|
Thuy Dang
385 E Mill St Ste 15 |
$62.00 | 1,693 | 1,692 |
|
Osvaldo Rufino Garcia
1428 N Waterman Ave |
$55.17 | 1,699 | 1,693 |
|
Brenda Evans-Louka
1848 Commercenter E |
$70.64 | 1,717 | 1,715 |
|
Ali Saad Mohammed Al Obaidi
2094 E Highland Ave |
$64.63 | 1,868 | 1,829 |
|
Saman Ghaemmaghami
4016 University Pkwy |
$70.26 | 2,037 | 2,033 |
|
Rares Dan Rusen
1078 E Hospitality Ln Ste A |
$63.36 | 2,189 | 2,160 |
|
Luis Alfredo Velazquez
189 N E St |
$71.02 | 2,249 | 2,242 |
|
Benjamin Garver
322 N H St |
$63.79 | 2,368 | 2,368 |
|
Pranee V Pooudomsak
1850 S Waterman Ave Ste B |
$61.29 | 2,624 | 2,624 |
|
Vahe Ohanesian
159 W Hospitality Ln |
$34.96 | 2,633 | 2,632 |
|
Aaron Anthony Sulaeman
25054 Base Line St |
$48.91 | 2,835 | 2,834 |
|
Tzu-Fei Chang
1199 N E St |
$53.31 | 2,859 | 2,855 |
|
Rosendo Garza
275 E 33Rd St |
$56.68 | 2,914 | 2,900 |
|
Monica Eugenia Ramirez
555 South Mount Vernon Ave |
$36.83 | 3,225 | 3,215 |
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