Average Medicaid Dental Cleaning & Exam Payments in Troy, NY: $35.01
Avg. Paid
$35.01
Range
$0.00 – $56.29
Total Claims
51,236
Providers
14
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 Troy, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yevgeny Sosnovsky
740 Hoosick Rd |
$29.75 | 15,457 | 15,420 |
|
Daniel Moss Richter
205 5Th Ave |
$38.48 | 10,167 | 10,166 |
|
Augusto Sarmiento
147 Hoosick St |
$31.32 | 8,660 | 4,594 |
|
Brenda Yvonne Porter
2121 6Th Ave |
$37.56 | 6,688 | 6,681 |
|
Natalie Barclay
451 Hoosick St |
$53.26 | 1,998 | 1,996 |
|
Nirmal Kumar Jain
42 4Th St |
$33.93 | 1,747 | 1,747 |
|
Peter Nnamdi Okwerekwu
1520 6Th Ave Ste 102 |
$41.90 | 1,528 | 1,517 |
|
Shambhuprasad M Mehta
500 Federal St |
$47.82 | 1,490 | 1,487 |
|
Shonteral Lakay Redmond
97 1/2 George St |
$31.71 | 1,264 | 1,258 |
|
Irina Tsesis
740 Hoosick Rd |
$29.25 | 1,097 | 1,096 |
|
Thomas Hilary Hoppe
1520 6Th Avenue |
$36.37 | 619 | 604 |
|
Matthew J Clemente
325 Oakwood Avenue |
$56.29 | 374 | 373 |
|
Tara Sarfraz
404 Mcchesney Ave Ext |
$32.09 | 116 | 116 |
|
Hudson Valley Plaza Dental Llp
79 Vandenburgh Ave |
$0.00 | 31 | 31 |
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 Troy, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Troy, NY is $35.01 per claim, based on 51,236 claims from 14 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 Troy, NY?
There are 14 Medicaid providers offering Dental Cleaning & Exam related services in Troy, NY according to public payment data.
What is the price range for Dental Cleaning & Exam in Troy, NY?
Medicaid reimbursement for Dental Cleaning & Exam in Troy, NY ranges from $0.00 to $56.29 per claim, with an average of $35.01. 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
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San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
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