Average Medicaid Dental Cleaning & Exam Payments in Sun Prairie, WI: $22.68
Avg. Paid
$22.68
Range
$0.00 – $38.12
Total Claims
60,643
Providers
10
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 Sun Prairie, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kasheena S Hollis
1270 W Main St |
$29.42 | 34,790 | 33,544 |
|
Andrew Crowell
250 N City Station Dr |
$30.10 | 9,416 | 9,173 |
|
Matt R Agnew
1270 W Main St |
$0.66 | 6,143 | 5,948 |
|
Katherine A Schuler
1270 W Main St |
$0.01 | 5,936 | 5,819 |
|
Raymond Matthew Maddox
1270 W Main St |
$38.12 | 1,329 | 1,263 |
|
Jessica Diaz
1270 W Main St |
$3.95 | 1,266 | 1,251 |
|
Angela Engelmann
1270 W Main St |
$6.44 | 1,042 | 1,034 |
|
Shawna Massey
6339 Arrowhead Trl |
$0.00 | 396 | 396 |
|
Karen E. M. Schoenike
2860 Country Dr |
$0.00 | 250 | 208 |
|
Carrie A Herrild
1270 W. Main St. |
$21.87 | 75 | 74 |
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 Sun Prairie, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Sun Prairie, WI is $22.68 per claim, based on 60,643 claims from 10 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 Sun Prairie, WI?
There are 10 Medicaid providers offering Dental Cleaning & Exam related services in Sun Prairie, WI according to public payment data.
What is the price range for Dental Cleaning & Exam in Sun Prairie, WI?
Medicaid reimbursement for Dental Cleaning & Exam in Sun Prairie, WI ranges from $0.00 to $38.12 per claim, with an average of $22.68. 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 Sun Prairie, WI
Personal Care Services
Avg $12.81
65,321 claims
Speech Therapy
Avg $12.48
49,556 claims
Office Visit
Avg $35.25
41,412 claims
Physical Therapy
Avg $14.22
33,458 claims
Non-Emergency Medical Transportation
Avg $10.60
30,469 claims
Chiropractic Care
Avg $19.64
19,354 claims
Psychiatric Evaluation
Avg $67.18
10,540 claims
Dental Filling
Avg $74.58
7,474 claims