Average Medicaid Dental Cleaning & Exam Payments in South Bend, IN: $38.06
Avg. Paid
$38.06
Range
$0.00 – $57.34
Total Claims
46,300
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 South Bend, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lisa R Dekker-Reed
919 E Jefferson Blvd Ste 100 |
$39.02 | 8,658 | 8,587 |
|
Yamna Matin Afridi
1901 W Western Ave Ste B |
$37.72 | 4,950 | 4,858 |
|
Dhruv Dang
17901 Turners Dr |
$26.06 | 3,916 | 3,214 |
|
Russell A Murphy
1329 N Ironwood Drive |
$36.75 | 3,531 | 3,339 |
|
Harvey Weingarten
17455 Douglas Rd |
$35.60 | 2,873 | 2,545 |
|
Devesh Patel
1002 S Esther St |
$57.34 | 2,863 | 2,741 |
|
Cara Ann Kilgore
3434 Douglas Rd |
$35.99 | 2,138 | 2,048 |
|
David Francis Fishbaugh
3434 E. Douglas Rd. |
$37.73 | 1,864 | 1,843 |
|
Carter Matthew Mccrea
3434 Douglas Rd |
$35.43 | 1,839 | 1,735 |
|
Hari Priya Anne
3575 Portage Ave Ste A |
$41.92 | 1,779 | 1,707 |
|
Lisa Marie Moore
1005 E Lasalle Ave |
$38.44 | 1,578 | 1,565 |
|
William Edward Paul
926 East Lasalle Avenue |
$44.69 | 1,079 | 1,053 |
|
Lisa Strieter
1005 E Lasalle Ave |
$41.51 | 1,056 | 988 |
|
Stephen Spiritoso
3434 Douglas Rd |
$38.66 | 1,009 | 1,005 |
|
Theresa Alexander
1005 E Lasalle Ave |
$35.07 | 985 | 902 |
|
James Alvin Douglas
820 E Colfax Ave |
$43.31 | 920 | 897 |
|
Nathalee Soto-Gonzalez
17901 Turners Dr |
$20.29 | 890 | 882 |
|
Matthew Joseph Bernard
1005 E Lasalle Ave |
$34.59 | 606 | 581 |
|
North Point Pediatric Dentistry
3434 E. Douglas Rd |
$38.71 | 571 | 570 |
|
Edward Charles Collins
3367 Douglas Rd |
$39.39 | 502 | 484 |
|
Thomas Aloysius Closurdo
211 N Saint Peter St |
$37.13 | 496 | 481 |
|
William Lawrence Hull
3367 Douglas Rd |
$39.40 | 406 | 392 |
|
Maritza Andreina Michalak
3575 Portage Rd Ste A |
$43.51 | 394 | 391 |
|
The Dental Center Of South Bend Llc
1005 E Lasalle Ave |
$37.24 | 368 | 368 |
|
Tracy Lynn Bacon
906 E Washington St |
$38.27 | 312 | 298 |
|
Charles Wesley Magnuson
1331 Chimes Blvd |
$41.13 | 179 | 172 |
|
Thomas Pedavoli
1005 E Lasalle Ave |
$27.12 | 169 | 140 |
|
Nahidh David Andrews
3332 Portage Ave |
$51.83 | 155 | 151 |
|
David Wood Douglas
17455 Douglas Rd |
$42.90 | 110 | 110 |
|
Lauren Elizabeth Alavanja
919 E Jefferson Blvd |
$37.69 | 80 | 78 |
|
Eric Stefanski
3410 Douglas Rd |
$28.00 | 12 | 12 |
|
Mark Raymond Green
2201 Lincoln Way West |
$0.00 | 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 South Bend, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in South Bend, IN is $38.06 per claim, based on 46,300 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 South Bend, IN?
There are 32 Medicaid providers offering Dental Cleaning & Exam related services in South Bend, IN according to public payment data.
What is the price range for Dental Cleaning & Exam in South Bend, IN?
Medicaid reimbursement for Dental Cleaning & Exam in South Bend, IN ranges from $0.00 to $57.34 per claim, with an average of $38.06. 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 South Bend, IN
Office Visit
Avg $58.29
778,111 claims
Blood Work & Lab Tests
Avg $6.15
552,088 claims
Psychiatric Evaluation
Avg $67.17
188,449 claims
Emergency Room Visit
Avg $95.59
180,378 claims
Physical Therapy
Avg $31.56
170,960 claims
Vaccines & Immunizations
Avg $10.10
170,623 claims
Durable Medical Equipment (DME)
Avg $34.07
143,514 claims
Speech Therapy
Avg $58.84
113,674 claims