Average Medicaid Dental Cleaning & Exam Payments in Spring Valley, NY: $30.36
Avg. Paid
$30.36
Range
$11.90 – $40.21
Total Claims
145,009
Providers
15
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 Spring Valley, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Y Fogel
1 Hillcrest Ctr |
$31.35 | 57,021 | 57,021 |
|
Yelena Nutskovsky
375 W Route 59 |
$31.55 | 19,247 | 19,203 |
|
Juan Bautista Espaillat
286 N Main St Ste 101 |
$31.61 | 15,247 | 15,226 |
|
Sang Yoon Kim
2 Perlman Dr Ste 105 |
$26.76 | 11,601 | 11,559 |
|
Lauren Rothstein
728 North Main Street |
$40.21 | 8,842 | 8,748 |
|
Susan I Holiday
102 Mcnamara Rd |
$23.84 | 8,750 | 8,733 |
|
Andrea Pucci
728 N Main St |
$19.16 | 8,697 | 3,574 |
|
Nadesca M. Duluc
37 Kennedy Dr |
$30.02 | 5,880 | 5,880 |
|
Hanubal Sathyanarayana Gopalaswamy
57 E Eckerson Rd |
$33.60 | 5,019 | 5,009 |
|
Yefim Khanimov
375 W Route 59 |
$27.60 | 2,923 | 2,921 |
|
Rachel Elise Luss
375 W Route 59 |
$33.06 | 936 | 936 |
|
Felicia Nicolas
57 E Eckerson Rd |
$31.35 | 404 | 404 |
|
Junior Bertho Vertil
57 E Eckerson Rd |
$32.36 | 305 | 305 |
|
Conor Elizabeth Gruffi
2 Perlman Dr Ste 101 |
$34.11 | 125 | 32 |
|
Allen Helfer
728 N Main St |
$11.90 | 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 Spring Valley, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Spring Valley, NY is $30.36 per claim, based on 145,009 claims from 15 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 Spring Valley, NY?
There are 15 Medicaid providers offering Dental Cleaning & Exam related services in Spring Valley, NY according to public payment data.
What is the price range for Dental Cleaning & Exam in Spring Valley, NY?
Medicaid reimbursement for Dental Cleaning & Exam in Spring Valley, NY ranges from $11.90 to $40.21 per claim, with an average of $30.36. 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 Spring Valley, NY
Home Health Visit
Avg $136.76
3,040,112 claims
Office Visit
Avg $54.40
652,482 claims
Psychiatric Evaluation
Avg $90.91
205,415 claims
Vaccines & Immunizations
Avg $8.72
158,025 claims
Physical Therapy
Avg $56.92
90,174 claims
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Avg $28.49
82,169 claims
Dental Filling
Avg $81.87
50,698 claims
Hearing Test (Audiometry)
Avg $24.36
39,265 claims