Average Medicaid Dental Cleaning & Exam Payments in Sheboygan, WI: $12.09
Avg. Paid
$12.09
Range
$0.00 – $26.28
Total Claims
55,244
Providers
21
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 Sheboygan, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Casey S Wilson
1931 N 8Th St |
$1.69 | 17,975 | 17,054 |
|
Jaime K Marchi
1313 N Taylor Dr |
$21.05 | 9,277 | 9,029 |
|
Andrea Lin Igowsky
1313 N Taylor Dr |
$21.59 | 7,661 | 7,486 |
|
Christina Mae Bennett
1721 Saemann Ave |
$0.08 | 6,051 | 5,830 |
|
Daniel Ross Goeckermann
2926 S 12Th St |
$20.26 | 3,189 | 3,123 |
|
James M Hanson
1714 N 8Th St |
$13.82 | 2,628 | 2,395 |
|
William M Shows
3612 Erie Ave |
$25.58 | 2,549 | 2,456 |
|
David Blong Shouanou Lee
825 Michigan Ave |
$23.47 | 1,927 | 1,890 |
|
Hanan Kayali
1721 Saemann Ave |
$25.21 | 1,746 | 1,684 |
|
Natalie Ordonez
1721 Saemann Ave |
$0.00 | 1,206 | 1,144 |
|
Timothy J Gainey
1931 N. 8Th Street |
$16.53 | 477 | 451 |
|
Melissa J Flannery
1721 Saemann Ave |
$19.14 | 86 | 77 |
|
Ashley Marie Heling
1721 Saemann Ave |
$24.64 | 77 | 75 |
|
Jean Heller
1721 Saemann Ave |
$24.95 | 76 | 73 |
|
Patricia Helmer
1931 N 8Th St |
$25.44 | 61 | 60 |
|
Heather Diane Mulder
1721 Saemann Ave |
$25.44 | 56 | 55 |
|
Ashley Brunnbauer
510 S 8Th St |
$26.28 | 54 | 54 |
|
Melissa Ann Waara
1011 N 8Th St |
$21.19 | 49 | 48 |
|
Kristine Lemberger
1721 Saemann Ave |
$25.52 | 46 | 45 |
|
Curtis M Spaulding
1721 Saemann Ave |
$24.09 | 33 | 31 |
|
Ann M Polich
510 S. 8Th St. |
$19.54 | 20 | 19 |
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 Sheboygan, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Sheboygan, WI is $12.09 per claim, based on 55,244 claims from 21 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 Sheboygan, WI?
There are 21 Medicaid providers offering Dental Cleaning & Exam related services in Sheboygan, WI according to public payment data.
What is the price range for Dental Cleaning & Exam in Sheboygan, WI?
Medicaid reimbursement for Dental Cleaning & Exam in Sheboygan, WI ranges from $0.00 to $26.28 per claim, with an average of $12.09. 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
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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
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San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
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