Average Medicaid Dental Cleaning & Exam Payments in Santa Monica, CA: $54.55
Avg. Paid
$54.55
Range
$0.00 – $79.29
Total Claims
178,189
Providers
34
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 Santa Monica, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yvonne Goff
2336 Santa Monica Blvd |
$73.92 | 12 | 12 |
|
Sienna Palmer
2825 Santa Monica Blvd |
$41.25 | 12 | 12 |
|
Roya Elyaszadeh Levi
2409 Main St |
$66.00 | 16 | 16 |
|
Erica Denley
2509 Pico Blvd |
$4.88 | 17 | 16 |
|
John S Kishibay
2601 Ocean Park Blvd |
$32.50 | 28 | 28 |
|
Ryan Namiri-Kalantari
2509 Pico Blvd |
$41.37 | 38 | 38 |
|
Fang Yu Wang
2825 Santa Monica Blvd Ste 310 |
$79.29 | 42 | 42 |
|
John Park
2825 Santa Monica Blvd Ste 310 |
$66.00 | 42 | 42 |
|
Martin Safa
2825 Santa Monica Blvd # 303 |
$62.59 | 59 | 59 |
|
Lily Chang Einstein
2811 Wilshire Blvd Ste 590 |
$0.00 | 81 | 81 |
|
Richard Leon Edwards
2730 Wilshire Blvd.,#410 |
$66.00 | 144 | 144 |
|
Azadeh Goshayeshi
1302 Ocean Park Blvd Apt B |
$48.11 | 194 | 194 |
|
Jennifer Garcia
2901 Wilshire Blvd Ste 255 |
$48.26 | 258 | 258 |
|
Nai-Huei Wang
1260 15Th St Ste 1002 |
$70.04 | 293 | 293 |
|
Shawn Abraham
1731 Wilshire Blvd |
$32.35 | 352 | 352 |
|
Yosi Payam Behroozan
2221 Lincoln Blvd |
$44.24 | 398 | 398 |
|
Patricia Lucy Decilla
1304 15Th St |
$77.49 | 573 | 573 |
|
Christopher Garrison
2730 Wilshire Blvd |
$23.42 | 872 | 844 |
|
Hongbo Xu
3011 Santa Monica Blvd |
$50.00 | 1,182 | 1,181 |
|
Anna Halina Dabrowska
620 Arizona Ave Fl 2 |
$61.42 | 1,827 | 1,815 |
|
Nima Boostani
1217 Wilshire Blvd Ste 3678 |
$58.85 | 1,941 | 1,940 |
|
Ramin Farzam
1044 Pico Blvd |
$73.81 | 1,964 | 1,955 |
|
Boram Yoo
1128 19Th St |
$37.74 | 2,022 | 2,021 |
|
Kevin Porres
2730 Wilshire Blvd Ste 410 |
$60.50 | 2,056 | 2,056 |
|
Magnolia Becker
1440 23Rd St Apt 210 |
$52.15 | 2,252 | 2,232 |
|
David Youssefi
2428 Santa Monica Blvd Ste 403 |
$64.52 | 3,556 | 3,527 |
|
Jason Daniel Mirabile
1304 15Th St Ste 305 |
$67.85 | 6,953 | 6,920 |
|
Steve Chia Huang
3011 Santa Monica Blvd |
$54.66 | 7,901 | 7,837 |
|
Jamack Mozaffari
1902 California Ave # 101 |
$47.04 | 9,763 | 9,723 |
|
Omeed Mahboobian
1217 Wilshire Blvd |
$51.45 | 14,871 | 14,815 |
|
Ava Sinaei
218 19Th St |
$57.93 | 14,929 | 14,905 |
|
Andee Dana Josserand
2660 2Nd St Apt 2 |
$54.92 | 25,125 | 25,122 |
|
Nilofar Marashi
2909 Arizona Ave |
$52.82 | 29,224 | 29,118 |
|
Adrienne Vera Hecht
1317 26Th St Apt 2 |
$54.18 | 49,192 | 49,018 |
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 Santa Monica, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Santa Monica, CA is $54.55 per claim, based on 178,189 claims from 34 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 Santa Monica, CA?
There are 34 Medicaid providers offering Dental Cleaning & Exam related services in Santa Monica, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in Santa Monica, CA?
Medicaid reimbursement for Dental Cleaning & Exam in Santa Monica, CA ranges from $0.00 to $79.29 per claim, with an average of $54.55. 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 Santa Monica, CA
Office Visit
Avg $22.57
373,557 claims
Blood Work & Lab Tests
Avg $4.49
329,206 claims
X-Ray
Avg $8.96
258,632 claims
Emergency Room Visit
Avg $63.11
219,456 claims
Ultrasound
Avg $30.17
163,467 claims
Nursing Facility Care
Avg $51.77
135,686 claims
CT Scan (Computed Tomography)
Avg $61.05
127,182 claims
Urinalysis & Urine Tests
Avg $3.24
89,293 claims