Average Medicaid Dental Cleaning & Exam Payments in Somerset, NJ: $26.78
Avg. Paid
$26.78
Range
$0.00 – $45.00
Total Claims
48,993
Providers
12
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 Somerset, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christina M Belgrave
812 Hamilton St |
$31.51 | 18,307 | 18,160 |
|
Sheldon Chu
1101 Randolph Rd Ste 7 |
$28.80 | 10,549 | 7,027 |
|
Andrea M Barrett
812 Hamilton St |
$20.00 | 10,189 | 9,422 |
|
Bhramareswari Mandalapu
636 Easton Ave |
$29.11 | 4,523 | 4,463 |
|
Nwando Udom Dds Llc
84 Veronica Ave |
$0.00 | 1,534 | 1,529 |
|
Dental Design Group
1303 State Route 27 |
$19.16 | 1,474 | 1,473 |
|
Karim Elmorshedy
107 Cedar Grove Ln |
$34.03 | 1,008 | 1,007 |
|
Friendly Dental Of Somerset Pc
31 Clyde Rd Ste 101 |
$21.06 | 1,004 | 1,004 |
|
Devang H Modi
25 Clyde Rd Suite 102 |
$32.25 | 264 | 259 |
|
Dhara K Shah
7 Cedar Grove Ln Ste 33 |
$35.00 | 70 | 70 |
|
Nina A Sado
6 Azalea Ln |
$10.67 | 58 | 58 |
|
Martin Halofsky
1313 State Route 27 |
$45.00 | 13 | 13 |
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 Somerset, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Somerset, NJ is $26.78 per claim, based on 48,993 claims from 12 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 Somerset, NJ?
There are 12 Medicaid providers offering Dental Cleaning & Exam related services in Somerset, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in Somerset, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in Somerset, NJ ranges from $0.00 to $45.00 per claim, with an average of $26.78. 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
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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
Other Procedures in Somerset, NJ
Office Visit
Avg $56.75
214,420 claims
Home Health Visit
Avg $133.06
104,520 claims
Physical Therapy
Avg $7.23
90,947 claims
Psychiatric Evaluation
Avg $112.85
85,116 claims
Eye Exam
Avg $29.17
34,349 claims
Emergency Room Visit
Avg $68.00
30,793 claims
Vaccines & Immunizations
Avg $18.04
25,975 claims
Blood Work & Lab Tests
Avg $5.63
20,964 claims