Average Medicaid Dental Cleaning & Exam Payments in Toms River, NJ: $29.14
Avg. Paid
$29.14
Range
$0.00 – $75.93
Total Claims
240,398
Providers
48
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 Toms River, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sadia Sheikh
203 Hooper Ave |
$45.00 | 12 | 12 |
|
Salvatore Esposito
16 Washington St |
$14.40 | 12 | 12 |
|
Joachim G Rainieri
1302 Old Freehold Rd |
$0.00 | 13 | 13 |
|
Jaime Ball
691 Michael Dr |
$11.67 | 25 | 25 |
|
Amara Dental Of Toms River, P.A.
1380 Hooper Avenue |
$24.00 | 43 | 43 |
|
David Basar
2224 Route 37 E |
$8.20 | 55 | 55 |
|
Michael Dipietro
9 Hospital Dr |
$26.76 | 74 | 64 |
|
Elisa Velazquez
368 Lakehurst Rd |
$44.50 | 90 | 90 |
|
Sathya Kallur
16 Washington St |
$23.10 | 106 | 104 |
|
Noah Mustafa
418 Hooper Ave |
$39.44 | 107 | 103 |
|
Meng-Hua Shen
180 Route 37 W |
$23.39 | 139 | 136 |
|
Jesse J Hofer
2224 Route 37 E |
$34.75 | 301 | 299 |
|
Myron Fishbein
1939 Hooper Ave |
$13.99 | 334 | 334 |
|
Jennifer Mary Douedi
1220 Hooper Ave |
$25.11 | 335 | 316 |
|
Harold R. Mertz
150 Route 37 W |
$26.37 | 507 | 506 |
|
Joy Maureen Davis-Powlette
1228 Rte 37 W |
$0.00 | 575 | 574 |
|
Marvin J. Sher Dmd Pa
564 Lakehurst Rd |
$39.79 | 637 | 634 |
|
Matthew J Girardy
2224 Route 37 E |
$34.39 | 658 | 653 |
|
Phillipsburg Family Dental Pa
1144 Hooper Ave |
$25.57 | 782 | 757 |
|
Michelle Au
1200 Hooper Ave |
$35.13 | 823 | 815 |
|
David J Fredericks
171 Route 37 E |
$27.05 | 832 | 826 |
|
Gregory Naryshkin
151 Rte 37 W |
$29.31 | 893 | 853 |
|
Patricia Gibbons
301 Lakehurst Rd |
$23.78 | 1,111 | 1,076 |
|
Jeffrey Demilt
16 Washington St |
$25.29 | 1,331 | 1,327 |
|
Tommy Pagonis
1358 Hooper Ave |
$15.61 | 1,426 | 1,393 |
|
Thomas Sargent
16 Washington St |
$34.94 | 1,541 | 1,524 |
|
Joseph Pinsker
16 Washington St |
$44.57 | 1,842 | 1,833 |
|
Family Dental Of Toms River
2224 Highway 37 East |
$36.24 | 1,928 | 1,880 |
|
Dental Specialties Of Toms River
2224 Highway 37 East |
$37.98 | 2,887 | 2,727 |
|
Kenneth Maykow
16 Washington St |
$23.53 | 3,402 | 3,078 |
|
Joseph Anthony Rubulotta
1030 Hooper Ave |
$26.56 | 4,811 | 4,707 |
|
Shore Family Dental
1358 Hooper Ave |
$25.99 | 5,217 | 5,192 |
|
David Lam
16 Washington St |
$75.93 | 5,549 | 5,518 |
|
Michael Dzitzer
16 Washington St |
$27.45 | 5,703 | 5,701 |
|
Ocean Family Dental
601 Rte 37 W |
$38.69 | 6,136 | 6,133 |
|
Gregory Skinner
1144 Hooper Ave |
$29.06 | 6,918 | 6,391 |
|
Allan Kaplan
16 Washington St |
$27.25 | 7,162 | 7,136 |
|
Christopher Emma
16 Washington St |
$27.07 | 7,785 | 7,762 |
|
Gerard Sarni
16 Washington St |
$22.75 | 7,878 | 7,650 |
|
Patrick Jackson
16 Washington St |
$21.28 | 7,938 | 7,809 |
|
Yury Bechutsky
16 Washington St |
$27.60 | 8,149 | 8,085 |
|
Juan J Munoz
702 Mccormick Dr |
$12.55 | 8,378 | 8,192 |
|
Glenn Prager
1144 Hooper Ave |
$31.69 | 8,775 | 8,655 |
|
Todd Prager
1144 Hooper Ave |
$30.93 | 11,179 | 10,853 |
|
Kyle A Ditmars
508 Lakehurst Rd Ste 3B |
$18.10 | 16,931 | 16,593 |
|
Snehal Rajpal
1144 Hooper Ave |
$30.13 | 18,192 | 17,796 |
|
Donn Harris Winokur
601 Rte 37 W |
$28.78 | 39,000 | 38,830 |
|
Pablo Trillo
601 Rte 37 W Ste 102 |
$32.52 | 41,876 | 41,683 |
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 Toms River, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Toms River, NJ is $29.14 per claim, based on 240,398 claims from 48 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 Toms River, NJ?
There are 48 Medicaid providers offering Dental Cleaning & Exam related services in Toms River, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in Toms River, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in Toms River, NJ ranges from $0.00 to $75.93 per claim, with an average of $29.14. 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 Toms River, NJ
Office Visit
Avg $39.86
767,181 claims
Vaccines & Immunizations
Avg $16.36
424,620 claims
Blood Work & Lab Tests
Avg $10.60
363,597 claims
Home Health Visit
Avg $76.39
321,882 claims
Non-Emergency Medical Transportation
Avg $63.62
234,777 claims
Emergency Room Visit
Avg $231.01
206,206 claims
X-Ray
Avg $24.90
131,476 claims
Psychiatric Evaluation
Avg $83.39
128,862 claims