Average Medicaid Dental Cleaning & Exam Payments in Waltham, MA: $38.21
Avg. Paid
$38.21
Range
$13.64 – $47.16
Total Claims
163,622
Providers
27
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 Waltham, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yelena Vladimirovna Gutnichenko
695 Main St |
$43.76 | 51,439 | 51,292 |
|
Trustees Of Tufts University
200 Trapelo Rd |
$41.17 | 27,142 | 24,220 |
|
Carmen D. Brambila
695 Main St |
$41.85 | 21,995 | 21,893 |
|
Charles River Community Health, Inc
43 Foundry Ave |
$13.64 | 17,105 | 13,446 |
|
Tripti Gupta
314 Moody St |
$32.83 | 8,149 | 6,800 |
|
Trustees Of Tufts College
Tdf Community Program |
$34.76 | 5,422 | 4,269 |
|
Myungeun Kim
85 River St Ste 2 |
$37.55 | 4,949 | 4,874 |
|
Poornima Mysore Vishwanath
314 Moody St |
$40.61 | 3,858 | 3,730 |
|
Weichun Li
85 River St # 65292 |
$36.76 | 3,570 | 3,474 |
|
John James Caravolas
20 Hope Ave |
$38.30 | 3,252 | 3,029 |
|
Yasmin Chebbi
32 South St Ste 100 |
$42.89 | 3,040 | 2,862 |
|
Modar Al-Roomi
1030 Main St Ste 3 |
$38.41 | 2,067 | 1,940 |
|
Bruna Rossi Hoffman
12 Grant Place |
$39.93 | 1,933 | 1,844 |
|
Patrick Chikin Lo
85 River St Ste 2 |
$40.17 | 1,886 | 1,804 |
|
Golnaz Damghani
131 Main St |
$38.49 | 1,743 | 1,692 |
|
Cheryl Shao
85 River St Ste 2 |
$39.75 | 1,362 | 1,333 |
|
Caitlin Maureen Kelly
131 Main St |
$38.80 | 1,049 | 1,017 |
|
Poonam Soi
376 Moody St |
$39.09 | 988 | 984 |
|
Christopher John Salzillo
131 Main St |
$40.07 | 597 | 579 |
|
Damian D. Meola
131 Main St |
$44.26 | 543 | 519 |
|
Nazia Pathan
1030 Main St |
$45.32 | 528 | 502 |
|
Shaina Immaculee Henriquez
271 Waverley Oaks Rd Ste 101 |
$37.17 | 285 | 278 |
|
Jonathan Bishop
982 Main St |
$36.78 | 258 | 252 |
|
Neha Sood
314 Moody St |
$47.16 | 165 | 165 |
|
Cvs Pharmacy Inc
12 Harvard St |
$34.77 | 119 | 119 |
|
Christian Joseph Wesolowski
131 Main St |
$46.36 | 116 | 116 |
|
Ana Mateo
30 Grant St |
$45.79 | 62 | 61 |
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 Waltham, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Waltham, MA is $38.21 per claim, based on 163,622 claims from 27 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 Waltham, MA?
There are 27 Medicaid providers offering Dental Cleaning & Exam related services in Waltham, MA according to public payment data.
What is the price range for Dental Cleaning & Exam in Waltham, MA?
Medicaid reimbursement for Dental Cleaning & Exam in Waltham, MA ranges from $13.64 to $47.16 per claim, with an average of $38.21. 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 Waltham, MA
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Avg $33.95
260,807 claims
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Avg $108.98
65,023 claims
Office Visit
Avg $51.98
64,014 claims
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Avg $4.02
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Avg $10.90
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Avg $73.66
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Avg $40.00
23,845 claims
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Avg $78.24
23,740 claims