Average Medicaid Dental Cleaning & Exam Payments in Traverse City, MI: $38.64
Avg. Paid
$38.64
Range
$17.32 – $62.74
Total Claims
65,983
Providers
26
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 Traverse City, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Northern Michigan Pediatric Dentistry
4944 Skyview Ct |
$38.16 | 54,899 | 54,860 |
|
Grand Traverse Oral Surgery, P.C.
12776 S West Bay Shore Dr |
$61.04 | 3,230 | 3,229 |
|
Tawfiq Alkilani Dds Pllc
3375 S Airport Rd W |
$37.92 | 1,519 | 1,513 |
|
Beers & Stilwill Family Dentistry
4041 Lone Pine Dr |
$25.83 | 1,080 | 1,080 |
|
Deerhaven Family Dentistry, P.L.C.
5217 N Royal Dr |
$25.22 | 969 | 968 |
|
United We Smile
4075 Copper Ridge Dr |
$42.22 | 873 | 873 |
|
Northwest Michigan Health Services, Inc
10767 E Traverse Hwy |
$32.74 | 657 | 637 |
|
A Cappella Dental, Pc
1061 E Front St |
$44.84 | 570 | 570 |
|
Chad Leland Beers
4041 Lone Pine Dr |
$27.13 | 475 | 475 |
|
Access Dental Group Pllc
431 Munson Ave Ste C |
$25.53 | 300 | 300 |
|
Grandview Dental Associates Pllc
421 Second St |
$27.21 | 172 | 172 |
|
Michael C Hutchison Pllc
10850 E Traverse Hwy |
$34.26 | 171 | 171 |
|
Heather Anne Pfefferle
1429 Barlow St. |
$29.67 | 158 | 158 |
|
Schulz Chapman Dentistry, P.C.
127 S Madison St |
$29.97 | 147 | 147 |
|
Mohammed Ameen
3375 S Airport Rd W |
$17.32 | 146 | 143 |
|
Traverse Dental Associates, Pllc
555 South Garfield Ave |
$24.99 | 119 | 119 |
|
Craig H Fountain
12776 S West Bay Shore Dr |
$62.74 | 102 | 102 |
|
Mark Whiting
421 2Nd St |
$27.00 | 84 | 84 |
|
Melissa Aylworth
3258 Bowers Harbor Rd |
$29.07 | 73 | 73 |
|
Grandview Dental Care Pllc
421 2Nd St Ste 1 |
$26.73 | 72 | 72 |
|
Derek James Rice
4020 Copper Vw Ste 200 |
$31.07 | 41 | 41 |
|
Derek Rice Dds Pllc
4020 Copper Vw Ste 200 |
$31.36 | 38 | 38 |
|
Tracy Ann Ruegsegger
876 E 8Th St |
$27.22 | 36 | 36 |
|
Gary Kaberle
218 Brook St |
$33.76 | 25 | 25 |
|
Ryan A Paulson
928 S Garfield Ave |
$36.40 | 15 | 15 |
|
Tim Wentzloff Dds Pc
876 E Front St |
$27.50 | 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 Traverse City, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Traverse City, MI is $38.64 per claim, based on 65,983 claims from 26 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 Traverse City, MI?
There are 26 Medicaid providers offering Dental Cleaning & Exam related services in Traverse City, MI according to public payment data.
What is the price range for Dental Cleaning & Exam in Traverse City, MI?
Medicaid reimbursement for Dental Cleaning & Exam in Traverse City, MI ranges from $17.32 to $62.74 per claim, with an average of $38.64. 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 Traverse City, MI
Office Visit
Avg $64.72
506,245 claims
Blood Work & Lab Tests
Avg $3.56
477,538 claims
X-Ray
Avg $8.19
262,432 claims
Substance Abuse Treatment
Avg $14.18
245,317 claims
Emergency Room Visit
Avg $98.06
204,229 claims
Psychiatric Evaluation
Avg $121.83
180,284 claims
Case Management Services
Avg $295.13
173,679 claims
Vaccines & Immunizations
Avg $7.66
135,900 claims