Average Medicaid Dental Cleaning & Exam Payments in San Mateo, CA: $45.05
Avg. Paid
$45.05
Range
$24.91 – $76.51
Total Claims
69,467
Providers
27
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 Mateo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Catherine Chiu
181 Second Ave |
$39.68 | 26,630 | 26,600 |
|
Prerna Vinod Vijan
4100 S El Camino Real |
$51.23 | 9,247 | 9,216 |
|
Ashita Sinha
4100 S El Camino Real |
$62.71 | 5,877 | 5,876 |
|
Travis David Wu
33 Weepingridge Ct |
$42.42 | 5,792 | 5,779 |
|
Ajay Mathur
4100 S El Camino Real |
$48.92 | 3,673 | 3,669 |
|
Shruti Singh
430 N El Camino Real |
$46.88 | 3,324 | 3,323 |
|
Lerida Felizardo Lipumano-Picazo
800 South B St. |
$39.72 | 2,777 | 2,770 |
|
Brian Lee
430 N El Camino Real |
$40.91 | 1,934 | 1,928 |
|
Carol Boyd
222 W 39Th Ave |
$35.43 | 1,903 | 1,897 |
|
Lynn Marie Edwards
324 N San Mateo Dr |
$60.35 | 1,706 | 1,705 |
|
Harinder Rai
1100 Park Pl Ste 30 |
$41.50 | 1,280 | 1,280 |
|
Bernard Mario Sarkis
100 S Ellsworth Ave Ste 601 |
$35.28 | 1,183 | 1,143 |
|
Jane Dayoan Valde
3455 Pacific Blvd |
$45.13 | 984 | 982 |
|
Neha Yadav
4100 S El Camino Real |
$51.64 | 827 | 827 |
|
Tiffany Leung Tsurudome
38 N San Mateo Dr Ste 2 |
$42.60 | 570 | 567 |
|
Mark Tsuei
100 S Ellsworth Ave |
$76.51 | 478 | 472 |
|
Bradley Smith
50 S San Mateo Dr Ste 160 |
$45.45 | 245 | 245 |
|
Ashamani Kode
416 Villa Ter Apt 1 |
$27.45 | 220 | 220 |
|
County Of San Mateo
222 W 39Th Ave |
$38.47 | 155 | 155 |
|
Sonrisas Dental Health, Inc.
430 No. El Camino Real |
$37.20 | 151 | 151 |
|
Clark Fong
401A N San Mateo Dr |
$34.64 | 146 | 146 |
|
Maybelle Tukay Gomez
256 N San Mateo Dr |
$35.00 | 124 | 124 |
|
James Chen Orthodontics Professional Corporation
19 11Th Ave |
$45.50 | 89 | 89 |
|
Adam Peter Fagin
235 N San Mateo Dr Ste 600 |
$29.02 | 70 | 53 |
|
Daniel Taw
135 N San Mateo Dr |
$24.91 | 37 | 37 |
|
Lily Yao
2072 Timberlane Way |
$36.36 | 33 | 33 |
|
Colette Lee Fontaine
85 W 5Th Ave Apt 407 |
$52.50 | 12 | 12 |
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 Mateo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in San Mateo, CA is $45.05 per claim, based on 69,467 claims from 27 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 Mateo, CA?
There are 27 Medicaid providers offering Dental Cleaning & Exam related services in San Mateo, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in San Mateo, CA?
Medicaid reimbursement for Dental Cleaning & Exam in San Mateo, CA ranges from $24.91 to $76.51 per claim, with an average of $45.05. 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 $9.15
708,827 claims
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Avg $18.63
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Office Visit
Avg $50.22
249,879 claims
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Avg $223.69
159,131 claims
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Avg $3.65
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Avg $59.55
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Avg $13.51
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Avg $289.85
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