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Based on public Medicaid payment data.

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.

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