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Based on public Medicaid payment data.

Average Medicaid Dental Cleaning & Exam Payments in Santa Rosa, CA: $50.06

Avg. Paid

$50.06

Range

$18.62 – $199.54

Total Claims

255,325

Providers

32

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 Rosa, CA

Provider Avg. Paid Claims Patients
Haitham Sami

4100 Montgomery Dr

 $53.73 36,753 36,462
Navid Mehdipour

1401 Guerneville Rd Ste 300

 $24.00 35,946 35,584
Victor Costanza

751 Lombardi Ct

 $50.26 25,334 25,185
Mercedes C Mariolle

1144 Sonoma Ave Ste 108

 $48.68 25,067 24,974
Mahdi Salek

2448 Guerneville Rd Ste 1000

 $60.86 23,650 23,511
Quanli Dong

4100 Montgomery Dr

 $52.84 23,493 23,406
Christine Valdepenas Tomaszewski

751 Lombardi Ct

 $52.13 16,634 16,594
Randy Trung-Quy Nguyen

3850 Montgomery Dr Ste C

 $60.79 16,062 16,004
Amanda Major

250 D St

 $52.29 13,421 13,363
Norman Chau

2921 Cleveland Ave

 $64.77 7,092 7,080
William Peter Butrica

990 Sonoma Ave

 $46.25 5,013 4,998
Olga Antipova

140 Stony Point Rd Ste A

 $71.15 4,796 4,754
Yunfei Fan

1420 Guerneville Road, Suite 5

 $43.49 2,851 2,840
Jessica V Fuentes-Colasse

1144 Sonoma Ave Ste 108

 $55.67 2,777 2,768
Wesley Min-Da Chiang

4100 Montgomery Dr

 $34.45 2,276 2,270
Mishel Malhotra

70 Stony Point Rd Ste E

 $28.01 1,751 1,578
Laura Kimberly Reid

751 Lombardi Ct

 $46.04 1,626 1,623
Ingri Seath Sparling

4638 Montgomery Dr

 $82.72 1,496 1,492
Jerry Chia Ye Liu

4100 Montgomery Dr

 $69.39 1,398 1,351
Joshua Kovoor Abraham

1240 Farmers Ln

 $69.77 1,291 1,275
Neha Joshi

4100 Montgomery Dr

 $66.19 1,278 1,278
Katherine Carmel Kane

527 Squirrel Ct

 $29.64 1,249 1,249
Matthew Jon Stark

144 Stony Point Rd

 $199.54 908 833
Donald Frederick Hull

4100 Montgomery Dr Ste B

 $33.83 816 815
David H Lee

1240 Farmers Ln

 $34.68 545 544
Gina Marie Betita

144 Stony Point Rd

 $26.24 511 321
Amy Bee Wong

144 Stony Point Rd

 $18.62 484 290
Naomi Star Sever

6575 Oakmont Dr

 $33.57 422 421
Naveen Kumar Reddy Admala

2180 Northpoint Pkwy

 $32.14 202 202
Erwin Tamayo Carracedo

1331 Guerneville Rd

 $39.26 114 114
Rael Ilan Bernstein

2245 Montgomery Dr

 $35.00 40 40
Valeria Lawrence

1408 Townview Ln

 $63.72 29 28

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 Rosa, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Santa Rosa, CA is $50.06 per claim, based on 255,325 claims from 32 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 Rosa, CA?

There are 32 Medicaid providers offering Dental Cleaning & Exam related services in Santa Rosa, CA according to public payment data.

What is the price range for Dental Cleaning & Exam in Santa Rosa, CA?

Medicaid reimbursement for Dental Cleaning & Exam in Santa Rosa, CA ranges from $18.62 to $199.54 per claim, with an average of $50.06. 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 Rosa, CA

Office Visit

Avg $21.94

1,410,868 claims

Emergency Room Visit

Avg $93.87

505,118 claims

Blood Work & Lab Tests

Avg $10.43

454,321 claims

Substance Abuse Treatment

Avg $71.21

265,758 claims

X-Ray

Avg $16.73

255,609 claims

Non-Emergency Medical Transportation

Avg $40.57

251,882 claims

Psychiatric Evaluation

Avg $37.81

234,328 claims

Behavioral & Mental Health Therapy

Avg $177.36

210,087 claims