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 |
|---|---|---|---|
|
Michael Nikolas Pirayou
4984 Cherry Ave |
$30.00 | 12 | 12 |
|
Elizabeth Duell
4635 Piper Drive |
$43.75 | 12 | 12 |
|
Pek Chu
2139 Tully Rd |
$21.00 | 12 | 12 |
|
Victoria Tran
189 N Bascom Ave Ste 200 |
$1.42 | 12 | 12 |
|
Thinh Tran
919 Story Rd Unit 1128 |
$66.00 | 13 | 13 |
|
Raman Emanuel Nazari
1670 Hillsdale Ave Ste 20 |
$66.00 | 13 | 13 |
|
Hesham Amer
1806 Fumia Pl |
$35.00 | 13 | 13 |
|
Joel Santos
200 N Jackson Ave |
$40.00 | 13 | 13 |
|
Earl Lee Haller
2145 Los Gatos Almaden Rd |
$35.00 | 14 | 14 |
|
Jisoo Kim
1628 Hostetter Rd Ste J |
$90.00 | 14 | 14 |
|
Sujata S Gawande
2060 Aborn Rd Ste 125 |
$28.12 | 16 | 16 |
|
Neela Rian
2998 S Bascom Ave Ste 100 |
$32.50 | 22 | 22 |
|
Luan Tran Le
3151 S White Rd |
$19.32 | 25 | 25 |
|
Quynh C Nguyen
2395 Montpelier Dr Ste 1 |
$36.96 | 28 | 28 |
|
Sara Hamed-Negahdar
4860 Cherry Ave Ste A |
$22.75 | 32 | 31 |
|
Patricia Yen
2832 S White Rd |
$59.45 | 33 | 33 |
|
Norman Wilson Yim
80 Jackson St |
$77.66 | 35 | 35 |
|
Nasim Hadiashar
1333 Meridian Ave |
$90.00 | 37 | 37 |
|
Chang Guo
1333 Meridian Ave |
$4.32 | 38 | 37 |
|
Stefanie Thao Nguyen
170 E Taylor St |
$87.69 | 39 | 39 |
|
Adrienne Ngoclan Van
2114 Senter Rd |
$32.88 | 40 | 40 |
|
George Gorospe Solanzo
2664 Berryessa Rd Ste 214 |
$60.14 | 42 | 42 |
|
Kimchi Thi Nguyen
2593 South King Road |
$6.50 | 42 | 42 |
|
Tadesse Tesfamichael
920 N Bascom Ave Ste 1 |
$71.29 | 42 | 42 |
|
Eric H Chen
259 Meridian Ave |
$53.33 | 42 | 42 |
|
Yingtao Zhang
3571 N 1St St Ste 203 |
$78.08 | 53 | 53 |
|
Justin Patrick Bacolor
55 E Julian St |
$59.96 | 57 | 57 |
|
Amrinder Singh Sandhu
2881 Hemlock Ave |
$51.67 | 63 | 63 |
|
Huy Justin Nguyen
2830 S White Rd |
$30.91 | 69 | 69 |
|
Erica Bae
5730 Cottle Rd Ste 240 |
$37.60 | 75 | 75 |
|
Camtam Tong Nguyen
1057 E Capitol Expy |
$33.00 | 80 | 80 |
|
Pratim Arun Kulkarni
2454 Story Rd |
$36.88 | 96 | 96 |
|
Fernand Lacayanga
5130 Stevens Creek Blvd |
$65.68 | 102 | 102 |
|
Mandeep Kaur
3151 S White Rd |
$69.78 | 116 | 116 |
|
Jennifer Eunji Kim
1170 Lockhaven Way |
$78.72 | 119 | 119 |
|
Bich - Hai Thi Duong
29 S 13Th St |
$86.93 | 123 | 123 |
|
Mary Boots Fiesta Robinos
2664 Berryessa Rd |
$71.38 | 132 | 132 |
|
Trang Duong
3124 Senter Rd |
$73.99 | 136 | 136 |
|
Huy Ngoc Van
6023 Snell Ave |
$38.22 | 153 | 153 |
|
Jason Song
1628 Hostetter Rd Ste J |
$5.40 | 156 | 156 |
|
Ekta S Ghetia
4205 San Felipe Rd Ste 200 |
$30.52 | 159 | 149 |
|
Phong Thanh Tran
1450 S White Rd Ste 20 |
$38.58 | 159 | 159 |
|
Robin Thucanh Pham Tran
2351 Mckee Rd Ste B |
$67.80 | 160 | 160 |
|
Jigna K. Khetani
307 Tradewinds Dr |
$30.33 | 169 | 168 |
|
Solmaz Forutan
5595 Winfield Blvd Ste 212 |
$26.97 | 174 | 158 |
|
Hanh Hong Ha
1409 Bird Ave Ste F |
$59.82 | 175 | 175 |
|
Phung Kim Nguyen
2114 Senter |
$36.89 | 179 | 178 |
|
Vincent Kin Kei Fung
451 Blossom Hill Rd Ste 20 |
$48.61 | 180 | 180 |
|
Kavitha Moorthy
3465 Mckee Rd |
$46.62 | 180 | 180 |
|
Victor Enriquez
21500 Bertram Rd |
$41.46 | 182 | 182 |
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
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Avg $17.76
4,087,517 claims
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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
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Avg $3.93
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X-Ray
Avg $7.17
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Avg $69.65
603,596 claims
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Avg $25.58
575,785 claims