Average Medicaid Dental Cleaning & Exam Payments in San Jose, CA: $52.74
Avg. Paid
$52.74
Range
$0.00 – $90.00
Total Claims
1,100,494
Providers
244
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 Jose, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jamie Yuen Yin Yeung
7012 Silver Moon Ct |
$49.31 | 96,989 | 96,565 |
|
Suong Thi-Tuyet Le
2048 Story Rd |
$47.17 | 40,710 | 40,549 |
|
Ngocdung Nguyen
5150 Graves Ave Ste 11E |
$74.12 | 31,252 | 31,246 |
|
Winnie Wilson Gupta
1315 S Winchester Blvd |
$31.92 | 31,146 | 30,131 |
|
Smitha Rao
1201 Park Ave |
$45.97 | 31,092 | 31,006 |
|
Nicasio Macaraeg Abriol
3068 Story Rd |
$53.29 | 30,062 | 29,946 |
|
Alan Michael Alvarez
Children'S Dental Center And Big People, Too |
$43.15 | 29,134 | 28,993 |
|
Cyrus M Akhbari
1201 Park Ave |
$41.98 | 21,480 | 21,434 |
|
Julie Loan Huynh
120 Blossom Hill Rd # 20 |
$53.20 | 21,123 | 21,018 |
|
Julia Morcos
4110 Moorpark Ave |
$54.62 | 19,963 | 19,814 |
|
Katherine H. Yang
1153 S. King Rd |
$38.87 | 19,798 | 19,666 |
|
Tracy Dao Filler
2593 S King Rd Ste 3 |
$46.33 | 19,796 | 19,651 |
|
Rojin Amiri
4155 Moorpark Ave Ste 10 |
$38.67 | 17,973 | 17,890 |
|
Victoria Lai
55 E Julian St |
$57.52 | 17,082 | 17,013 |
|
Yi Yuan
3161 Senter Rd |
$52.51 | 16,721 | 16,664 |
|
Vananh Thi Ho
48 E Santa Clara St |
$54.07 | 16,516 | 16,477 |
|
Marcy Kazeminy
1676 Story Rd |
$55.95 | 16,303 | 16,252 |
|
Francisca Mojica
22 N White Rd Ste 40 |
$54.12 | 15,269 | 15,216 |
|
Hai Thanh Phan
1672 Mckee Rd |
$61.81 | 14,916 | 14,804 |
|
Deepika Jain
2454 Story Rd |
$54.39 | 14,109 | 14,087 |
|
Hien Nguyen Ha
992 Story Rd Ste 10 |
$60.06 | 13,375 | 13,322 |
|
Mindi Chau Thai
120 Blossom Hill Rd |
$53.17 | 13,020 | 13,001 |
|
Phuc Phan Trinh
1608 Mckee Rd |
$59.04 | 12,861 | 12,787 |
|
Lanchi Pham
3005 Silver Creek Rd |
$57.78 | 12,739 | 12,678 |
|
Chau My Phan
2820 Alum Rock Ave |
$21.50 | 12,244 | 12,121 |
|
Vy Thi Tuong Truong
1855 Alum Rock Ave |
$63.92 | 12,088 | 12,034 |
|
Thao Minh Nguyen
2782 Baton Rouge Dr |
$57.50 | 11,909 | 11,883 |
|
Ha Heather Nguyen
1705 Branham Ln |
$63.79 | 11,753 | 11,497 |
|
Sandeep Potdar
1720 Hamilton Ave |
$53.51 | 11,527 | 11,509 |
|
Aeen Aflaatuni
6516 Plainview Ct |
$59.98 | 10,757 | 10,665 |
|
Loan Mai Nguyen
1816 Tully Rd |
$55.83 | 9,904 | 9,862 |
|
Tuan Luong
2344 Mckee Rd |
$55.29 | 9,791 | 9,745 |
|
Jimmy Cham
2139 Tully Rd |
$67.51 | 9,777 | 9,752 |
|
Aparnavalli C Nayudu
3005 Silver Creek Rd |
$65.05 | 9,018 | 8,972 |
|
Reena Gupta
373 S Monroe St |
$65.82 | 8,929 | 8,880 |
|
Quynh N Bui
2569 S King Rd |
$61.24 | 8,926 | 8,882 |
|
Arezoo Heshmati
1155 N Capitol Ave Ste 160 |
$55.19 | 8,685 | 8,628 |
|
Nam Hee Ava Park
2060 Aborn Rd Ste 123 |
$29.43 | 8,543 | 1,953 |
|
Lu Tang
2230 Story Rd |
$47.12 | 8,457 | 8,431 |
|
Pauline Phuong Nguyen
5278 Monterey Hwy |
$47.45 | 8,309 | 8,277 |
|
Mitsu Joshi
1153 S King Rd Ste B |
$35.88 | 8,146 | 8,043 |
|
Tram Thuy Nguyen
2435 S King Rd Ste 10 |
$60.16 | 8,130 | 8,107 |
|
Kimdung Tracy Tran
120 Blossom Hill Rd # 20 |
$44.96 | 8,072 | 8,051 |
|
Irina V Ganzha
1902 N Capitol Ave |
$64.01 | 8,031 | 7,997 |
|
Doan Duy Vu
1870 Alum Rock Ave |
$53.76 | 7,817 | 7,742 |
|
Cuong Tonthat
56 N 13Th St |
$62.87 | 7,250 | 7,237 |
|
Madhavi A. Sheth
48 E Santa Clara St |
$56.76 | 7,248 | 7,199 |
|
Maria Godelia Villar
848 S Almaden Ave Ste 100 |
$48.42 | 7,169 | 7,137 |
|
Huy T Ngo
2324 Senter Road |
$63.88 | 7,132 | 7,123 |
|
Sandra Patricia Lara
1360 N Winchester Blvd |
$63.07 | 6,939 | 6,937 |
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 Jose, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in San Jose, CA is $52.74 per claim, based on 1,100,494 claims from 244 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 Jose, CA?
There are 244 Medicaid providers offering Dental Cleaning & Exam related services in San Jose, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in San Jose, CA?
Medicaid reimbursement for Dental Cleaning & Exam in San Jose, CA ranges from $0.00 to $90.00 per claim, with an average of $52.74. 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 Jose, CA
Office Visit
Avg $17.76
4,087,517 claims
Blood Work & Lab Tests
Avg $2.57
2,345,819 claims
Case Management Services
Avg $220.56
998,173 claims
Behavioral & Mental Health Therapy
Avg $198.51
836,218 claims
Vaccines & Immunizations
Avg $3.93
755,787 claims
X-Ray
Avg $7.17
627,443 claims
Substance Abuse Treatment
Avg $69.65
603,596 claims
Non-Emergency Medical Transportation
Avg $25.58
575,785 claims