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Based on public Medicaid payment data.

Average Medicaid Dental Cleaning & Exam Payments in Upland, CA: $46.20

Avg. Paid

$46.20

Range

$6.98 – $76.31

Total Claims

118,688

Providers

37

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 Upland, CA

Provider Avg. Paid Claims Patients
Houman Langroodi

99 N San Antonio Ave Ste 220

 $25.46 13,305 13,302
Daniel Duroseau

270 E 7Th St

 $38.45 10,484 10,157
Nelson Butay

265 N Euclid Ave

 $50.79 8,367 8,349
Jerson M. Vasquez

270 E. 7Th Street

 $58.40 8,126 8,076
Yvette Rivera

1042 N Mountain Ave Ste A2

 $52.09 7,696 7,672
Vikas Sikka

121 W Foothill Blvd Ste E

 $31.15 6,420 6,054
Eric C. Chiang

1273 W 7Th St

 $46.03 5,991 5,975
Russel Rovira Nolasco

1042 N Mountain Ave Ste A2

 $55.65 5,445 5,390
Martha Veronica Saucedo

1150 N Mountain Ave

 $52.92 5,333 5,305
Darvish Salami

300 E 7Th St Ste 1F

 $41.32 5,272 5,266
Jose M Zermeno

77 E 7Th St

 $61.29 4,773 4,760
Jaime Mauricio Gochez

300 E 7Th Street S 2H

 $49.89 4,252 4,240
Byron Dale Bernstine

615 N Benson

 $6.98 3,941 3,928
Vahan Grigoryan

536 E Foothill Blvd

 $57.94 3,334 3,316
Carol S Calicdan

1227 W Foothill Blvd

 $57.51 3,169 3,157
Richard Yoshito Kunihira

585 North Mountain Avenue

 $47.59 3,115 3,087
Edward Chiwing Leong

76 E Foothill Blvd

 $61.66 3,064 3,059
Rocio Fierros

2582 Thunder Mountain Rd

 $57.74 2,874 2,873
Kevin Nathaniel Brown

929 W Foothill Blvd

 $36.38 2,239 2,112
Theresa M. Ramos

1125 East 16Th

 $56.02 2,185 2,171
Min Soo Han

2057 W Foothill Blvd

 $67.81 1,278 1,266
Min Swe

600 N Mountain Ave

 $68.66 1,248 1,241
Douglas William Johnson

980 E Foothill Blvd Ste 104

 $63.55 1,069 1,069
Amy Truong

1875 N Campus Ave Ste C

 $76.31 921 921
Christina Janet Kassar

1049 W Foothill Blvd

 $39.89 892 851
Mario Pureco

485 E Foothill Blvd

 $42.40 763 761
Rachel R Johnson

440 N Mountain Ave Ste 101

 $54.06 591 591
Nardito Galang Angeles

1635 N Mountain Ave

 $36.29 542 539
Julie Hsin Ting Lee Au

313 Revere St

 $64.76 481 481
Steve Chu

600 N Euclid Ave

 $53.43 437 437
Amir Motamedi

1049 W Foothill Blvd

 $67.05 275 275
Nicolas Transito

77 E 7Th St

 $58.85 235 235
Birinderjit Singh Mand

555 N Central Ave

 $65.80 183 183
Alan Baylor Woodson

304 N Mountain Ave

 $38.96 164 164
Steven Douglas Fraker

1121 N Euclid Ave

 $69.23 138 138
Rania N Refaat

304 N Mountain Ave

 $39.20 55 55
Michael Cervantes

2523 Mountain Ln

 $33.41 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 Upland, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Upland, CA is $46.20 per claim, based on 118,688 claims from 37 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 Upland, CA?

There are 37 Medicaid providers offering Dental Cleaning & Exam related services in Upland, CA according to public payment data.

What is the price range for Dental Cleaning & Exam in Upland, CA?

Medicaid reimbursement for Dental Cleaning & Exam in Upland, CA ranges from $6.98 to $76.31 per claim, with an average of $46.20. 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 Upland, CA

Office Visit

Avg $44.57

715,468 claims

Blood Work & Lab Tests

Avg $8.30

467,774 claims

Emergency Room Visit

Avg $69.32

227,225 claims

Eye Exam

Avg $30.79

208,846 claims

X-Ray

Avg $12.71

148,970 claims

EKG / ECG (Electrocardiogram)

Avg $18.65

134,300 claims

Psychiatric Evaluation

Avg $104.62

120,656 claims

Urinalysis & Urine Tests

Avg $3.02

116,599 claims