Average Medicaid Dental Cleaning & Exam Payments in San Francisco, CA: $54.19
Avg. Paid
$54.19
Range
$0.00 – $131.23
Total Claims
459,107
Providers
196
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 Francisco, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Justin Tin
2817 San Bruno Ave |
$58.53 | 48,052 | 47,833 |
|
Thuan Quoc Le
513 Parnassus Ave. |
$49.26 | 33,884 | 33,786 |
|
Fong Yan Diana Chan
771 Sacramento St |
$44.89 | 22,727 | 22,587 |
|
Mikhail Berdichevsky
4444 Geary Blvd |
$67.04 | 18,677 | 18,579 |
|
Sean Mong
707 Parnassus Ave |
$59.15 | 15,920 | 15,795 |
|
Mohamad Walid Kadamani
167B Castro St |
$30.91 | 13,833 | 13,753 |
|
Ana Rodriguez
1240 14Th Ave Apt 301 |
$39.41 | 13,628 | 13,624 |
|
Tatyana V Kvyatkovskaya
4585 Mission St |
$61.92 | 11,803 | 11,757 |
|
Grayson Pierson
2364 Geary Blvd |
$52.36 | 10,872 | 10,867 |
|
Seewan Chiu
323 6Th Ave |
$69.45 | 9,377 | 9,361 |
|
Alfred Jeffrey Wood
155 5Th St |
$40.12 | 8,806 | 8,802 |
|
Siu W. Chan
2323 Noriega St |
$47.04 | 8,442 | 8,430 |
|
Preshus Joy Frago Magdangal
155 5Th Street |
$45.39 | 8,385 | 8,273 |
|
Katherine Mary Rosen
2480 Mission St |
$31.96 | 8,055 | 8,035 |
|
Ryan James Conlon
1033 Broderick St |
$46.70 | 6,955 | 6,873 |
|
Alborz Mehdizadeh
707 Parnassus Ave |
$71.77 | 6,771 | 6,760 |
|
Moninder Kaur
1207 26Th Ave |
$64.75 | 5,927 | 5,820 |
|
Mark Tsang
950 Stockton Street |
$62.76 | 5,572 | 5,566 |
|
Saad Salahuddin
2 Embarcadero Ctr |
$40.50 | 5,526 | 5,411 |
|
Daniel Ramirez
2409 Taraval St |
$74.61 | 5,513 | 5,484 |
|
Kyaw K Soe
4747 Mission St |
$53.97 | 5,509 | 5,499 |
|
Nicole Bartolome
707 Parnassus Ave |
$53.65 | 5,345 | 5,307 |
|
Alan Todd Wakefield
2813 Mission St |
$52.78 | 5,008 | 4,990 |
|
Maciej W Dolata
711 Hampshire St |
$51.61 | 4,784 | 4,555 |
|
Inessa Davidonna Grinberg
6100 California St |
$65.98 | 4,775 | 4,738 |
|
Brian T. Bast
513 Parnassus Ave Rm S738 |
$61.19 | 4,666 | 4,634 |
|
Helen Niu Yuan
1393 32Nd Ave |
$62.36 | 4,536 | 4,533 |
|
Mark Thomas Booth
155 5Th St |
$64.04 | 4,418 | 4,411 |
|
Reya Das
707 Parnassus Ave |
$34.03 | 4,205 | 4,087 |
|
Henry Yang
2482 Mission St |
$28.63 | 4,155 | 4,140 |
|
Desiree Liu
490 Post St Ste 807 |
$76.64 | 4,116 | 4,115 |
|
Erika Auxiliadora Martinez
4585 Mission St |
$59.78 | 3,910 | 3,895 |
|
Brian Joseph Kenyon
2155 Webster St |
$66.30 | 3,748 | 3,744 |
|
Akhilesha Puvvala
2480 Mission St Ste 323 |
$61.66 | 3,682 | 3,674 |
|
Desmond Gallagher
2155 Webster St |
$70.39 | 3,535 | 3,528 |
|
Colleen Chiu
771 Sacramento St |
$76.25 | 3,340 | 3,329 |
|
Eugene Roytman
4585 Mission St |
$56.52 | 3,248 | 3,242 |
|
Edna Talag Santos
450 Sutter St Rm 1114 |
$69.85 | 3,128 | 3,111 |
|
Kapil Deepak Kirpekar
2494 Mission St |
$31.94 | 3,010 | 2,714 |
|
Yuri Undorf
4312 Geary Blvd |
$78.08 | 3,000 | 2,984 |
|
Roza Poghosyan
2713 44Th Ave Apt 5 |
$58.01 | 2,957 | 2,955 |
|
Janita Mach
1915 Clement St |
$41.28 | 2,941 | 2,937 |
|
Seungwan Ha
1 Saint Francis Pl Apt 4608 |
$30.41 | 2,854 | 2,676 |
|
Ling Zhan
707 Parnassus Ave |
$53.74 | 2,714 | 2,705 |
|
Adriana N. Greene
2480 Mission St Ste 106 |
$34.81 | 2,665 | 2,662 |
|
Lila Sea Ceniceros
2440 Mission St |
$56.08 | 2,656 | 2,626 |
|
Han Tin
5865 Mission St |
$63.91 | 2,627 | 2,626 |
|
Connie Horca Rocabo
2489 Mission St Ste 6 |
$68.88 | 2,598 | 2,584 |
|
Rubin Anthony Sorrell
1739 Revere Ave |
$71.13 | 2,573 | 2,531 |
|
Jungsoo Kim
1249 18Th Ave Apt 301 |
$54.37 | 2,420 | 2,418 |
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 Francisco, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in San Francisco, CA is $54.19 per claim, based on 459,107 claims from 196 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 Francisco, CA?
There are 196 Medicaid providers offering Dental Cleaning & Exam related services in San Francisco, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in San Francisco, CA?
Medicaid reimbursement for Dental Cleaning & Exam in San Francisco, CA ranges from $0.00 to $131.23 per claim, with an average of $54.19. 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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Office Visit
Avg $27.38
4,381,925 claims
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Avg $24.87
3,627,413 claims
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Avg $9.39
1,330,034 claims
Emergency Room Visit
Avg $99.86
864,304 claims
Case Management Services
Avg $219.34
857,389 claims
X-Ray
Avg $10.29
837,190 claims
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Avg $4.60
793,901 claims
EKG / ECG (Electrocardiogram)
Avg $13.42
477,994 claims