Average Medicaid Dental Cleaning & Exam Payments in Union, NJ: $26.63
Avg. Paid
$26.63
Range
$0.88 – $44.92
Total Claims
58,887
Providers
21
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 Union, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael A Taylor
459 Chestnut St |
$29.70 | 19,860 | 19,649 |
|
Elon T. Elisha
1441 Morris Ave |
$24.71 | 13,337 | 13,001 |
|
Richard C Poller
459 Chestnut St |
$35.05 | 4,893 | 4,876 |
|
Lance Viernes
2115 Route 10 West |
$36.68 | 4,407 | 4,370 |
|
Luke Thomas Klele
1496 Morris Ave |
$18.22 | 4,059 | 3,887 |
|
Stephen Grober
2115 Us Highway 22 W |
$0.88 | 3,435 | 3,409 |
|
Mary J Burke
381 Chestnut St |
$27.41 | 2,013 | 2,013 |
|
Michelle Leyla Epshteyn
372 Chestnut St |
$33.97 | 1,214 | 1,202 |
|
Alena Barysenka
1379 Morris Ave |
$33.30 | 1,154 | 1,148 |
|
Ismile Dental Care Pc
1050 Galloping Hill Rd |
$19.20 | 894 | 894 |
|
Princy Bhardwaj
2115 Us Highway 22 W Ste 3 |
$28.07 | 808 | 765 |
|
Jasmine Oghaz
2130 Morris Ave |
$28.57 | 690 | 616 |
|
Rama Emilija Gvildys
1961 Morris Ave |
$16.80 | 633 | 631 |
|
Kalyani Maddali
2810 Morris Ave Suite 202 |
$15.36 | 452 | 448 |
|
Nu-Dimensions Dental Center Of Union,P.A.
1961 Morris Ave |
$24.43 | 448 | 447 |
|
Oleh W. Zaputowycz
1441 Morris Ave |
$44.92 | 200 | 200 |
|
Ltc Mobile Dental Services, P.A.
1961 Morris Ave |
$18.02 | 106 | 106 |
|
Theresa Kim Ngoc Vu
1050 Galloping Hill Rd Ste 103 |
$5.94 | 91 | 83 |
|
Denise Hadzovic
1050 Galloping Hill Rd Ste 103 |
$30.28 | 89 | 77 |
|
Joseph Phillip Prasad
1961 Morris Ave |
$15.12 | 80 | 78 |
|
Richard G Rosivack
381 Chestnut St |
$12.52 | 24 | 24 |
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 Union, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Union, NJ is $26.63 per claim, based on 58,887 claims from 21 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 Union, NJ?
There are 21 Medicaid providers offering Dental Cleaning & Exam related services in Union, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in Union, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in Union, NJ ranges from $0.88 to $44.92 per claim, with an average of $26.63. 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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