Average Medicaid Dental Cleaning & Exam Payments in South Portland, ME: $35.56
Avg. Paid
$35.56
Range
$0.00 – $55.81
Total Claims
12,626
Providers
16
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 Portland, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Barbara C. Lavallee
50 Lydia Ln |
$30.00 | 12 | 12 |
|
Portland Community Health Center
120 Wescott Rd |
$0.00 | 13 | 13 |
|
Killian David Maccarthy
20 Long Creek Dr |
$19.17 | 24 | 24 |
|
Laura Elizabeth Krause
265 Westbrook St |
$32.00 | 27 | 24 |
|
Alison Schmitzler
100 Foden Rd, West, Suite 303 |
$31.18 | 65 | 65 |
|
Matthew Jacobsen
20 Long Creek Dr |
$53.86 | 70 | 68 |
|
Matthew E Lawler
20 Long Creek Drive |
$41.80 | 112 | 110 |
|
Portland Community Health Center
637 Highland Ave |
$0.00 | 191 | 191 |
|
Grace Thomas
171 Maine Mall Rd |
$12.90 | 242 | 242 |
|
Richard W Crawford
440 Western Ave |
$30.89 | 771 | 750 |
|
William T Benzing
440 Western Ave |
$35.80 | 933 | 908 |
|
Amber Leigh Lombardi
50 Lydia Ln |
$39.86 | 1,201 | 1,187 |
|
Huy Nguyen
85 Western Ave |
$55.81 | 1,243 | 1,168 |
|
Katherine Paret
225 Waterman Dr |
$30.59 | 1,262 | 1,248 |
|
Mijung Kim
85 Western Ave |
$29.79 | 1,982 | 1,862 |
|
Jean Paul Boudreau
25 Long Creek Dr |
$36.08 | 4,478 | 4,445 |
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 Portland, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in South Portland, ME is $35.56 per claim, based on 12,626 claims from 16 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 Portland, ME?
There are 16 Medicaid providers offering Dental Cleaning & Exam related services in South Portland, ME according to public payment data.
What is the price range for Dental Cleaning & Exam in South Portland, ME?
Medicaid reimbursement for Dental Cleaning & Exam in South Portland, ME ranges from $0.00 to $55.81 per claim, with an average of $35.56. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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Avg $29.76
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Chicago, IL
Avg $29.66
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Los Angeles, CA
Avg $49.60
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Avg $40.74
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