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 |
|---|---|---|---|
|
Elham Ziaie Matin
2425 Ocean Ave |
$35.00 | 12 | 12 |
|
Jennifer Chang
155 5Th St |
$66.00 | 12 | 12 |
|
Leonel Venton Dickey
1845 Fillmore St |
$66.00 | 13 | 13 |
|
Daniel M Ramos
521 Parnassus Ave |
$24.23 | 13 | 12 |
|
Fatemeh Momen Heravi
707 Parnassus Ave |
$3.98 | 13 | 13 |
|
Janelle Anne Gunther Cheong
2186 Geary Blvd |
$45.00 | 14 | 14 |
|
Xuyu Zhang
771 Sacramento St |
$83.57 | 14 | 14 |
|
Todor Stavrev
260 Stockton St Fl 3 |
$35.00 | 14 | 14 |
|
Laura Beatriz Ibarra
1 Daniel Burnham Ct Ste 120C |
$66.00 | 17 | 17 |
|
Gelareh Rahbar
133 Kearny St Ste 204 |
$103.00 | 18 | 18 |
|
Deanna Elizabeth Aronoff
160 Capp St |
$15.00 | 21 | 21 |
|
Hoi Yung Sit
1520 Stockton St |
$9.75 | 24 | 12 |
|
Steven Woo
393 7Th Ave |
$51.23 | 26 | 26 |
|
Di Wu
450 Sutter St Rm 2021 |
$76.73 | 26 | 26 |
|
Glenda Santa Maria
760 La Playa St |
$66.00 | 26 | 26 |
|
Roytman &Morozova Inc
4585 Mission St |
$41.34 | 28 | 28 |
|
Natalie Buu Hastings
707 Parnassus Ave |
$63.09 | 28 | 28 |
|
Jonah Ira Friedrich
2827 Franklin St |
$13.58 | 30 | 30 |
|
Sarah Seung-Ah Chung
2155 Webster St |
$28.00 | 30 | 29 |
|
Kyle Possemato
2410 California St |
$0.00 | 31 | 31 |
|
Joseph Beshay
707 Parnassus Ave |
$66.00 | 33 | 33 |
|
Irene Chen
2100 Webster St |
$26.00 | 33 | 33 |
|
Yogalakshmi Rajendran
707 Parnassus Ave |
$67.32 | 34 | 34 |
|
Ashwin Nanda
311 California St |
$62.03 | 37 | 37 |
|
May Shi Hao
160 Capp St |
$0.00 | 39 | 39 |
|
Georgios Kiurtsidis
595 Buckingham Way |
$67.12 | 40 | 40 |
|
Kenneth Ka Hin Ng
2323 Noriega St |
$64.04 | 42 | 42 |
|
Elizabeth Ng
707 Parnassus Ave |
$42.12 | 51 | 51 |
|
Ana Isabel Casal
1002 Clayton St |
$83.65 | 52 | 52 |
|
Tara Powers Mathia
707 Parnassus Ave # D1201 |
$66.00 | 57 | 57 |
|
Wendy Fung
1749 Taraval St |
$30.21 | 59 | 59 |
|
Snehlata Oberoi
707 Parnassus Ave |
$67.80 | 59 | 59 |
|
Vignesh Madisetty
490 Post St Ste 830 |
$62.52 | 62 | 62 |
|
Minjae Kim
133 Kearny St Ste 301 |
$65.96 | 73 | 73 |
|
Nenita Sanidad
2460 Mission St |
$46.15 | 74 | 73 |
|
Michelle Marie Brady
155 5Th St |
$62.13 | 79 | 79 |
|
Mihir Shah
543 Hugo St |
$28.02 | 84 | 84 |
|
Jared Warren Pool
1719 Powell St |
$10.28 | 87 | 86 |
|
Leonid A Tolstunov
99 W Portal Ave |
$131.23 | 94 | 80 |
|
Evan-Yutaka Kamealawelaweimiaina Masunaga
1800 Bryant St Ste 309 |
$37.86 | 94 | 94 |
|
Barzin Pourfarrokh
2001 Union St Ste 385 |
$52.47 | 95 | 95 |
|
Jessica Kang
2300 Pacific Ave |
$32.08 | 96 | 96 |
|
Soo Yeon Cho
786 Haight St |
$41.47 | 98 | 95 |
|
Pamela Denbesten
707 Parnassus Ave |
$32.68 | 101 | 101 |
|
Rosemary Ha
707 Parnassus Ave |
$70.92 | 104 | 104 |
|
Ram Mohan C Vaderhobli
707 Parnassus Ave |
$80.24 | 112 | 111 |
|
Osleydis Diaz
2484 Mission St |
$42.48 | 119 | 119 |
|
Timothy Tang
1450 Monterey Boulevard |
$49.97 | 120 | 120 |
|
Sivappiriyai Veluppillai
521 Parnassus Ave |
$65.66 | 120 | 118 |
|
Karishma Shah
3085 24Th St Ste 202 |
$75.69 | 127 | 127 |
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
Other Procedures in San Francisco, CA
Office Visit
Avg $27.38
4,381,925 claims
Substance Abuse Treatment
Avg $24.87
3,627,413 claims
Blood Work & Lab Tests
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
Vaccines & Immunizations
Avg $4.60
793,901 claims
EKG / ECG (Electrocardiogram)
Avg $13.42
477,994 claims