Average Medicaid Dental Cleaning & Exam Payments in Washington, PA: $27.37
Avg. Paid
$27.37
Range
$0.00 – $61.25
Total Claims
31,851
Providers
13
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 Washington, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Helen Nahouraii
351 W Beau St Ste 301 |
$23.49 | 17,918 | 17,261 |
|
Eric Matthew Mcdonough
2031 West Chestnut St. |
$25.53 | 3,082 | 3,064 |
|
Yasir Alsarraj
106 Trinity Point Dr |
$38.66 | 2,949 | 2,932 |
|
Tianda Wang
106 Trinity Point Dr |
$28.43 | 2,465 | 2,459 |
|
Steven Gillen
Route 19 |
$26.72 | 1,582 | 1,578 |
|
Steven M Krakora
2112 N Franklin Dr |
$49.50 | 1,484 | 1,475 |
|
Diana M Haerr
950 Manifold Rd Ste 106 |
$26.24 | 829 | 829 |
|
William E Amos
150 W Beau St |
$27.24 | 767 | 763 |
|
Neda Yazdani
106 Trinity Point Drive |
$24.79 | 417 | 394 |
|
Samantha Mary Mathews
366 Washington Rd |
$61.25 | 277 | 274 |
|
Brandon Humberger
2112 North Franklin Drive |
$49.59 | 45 | 44 |
|
Centerville Clinics, Inc.
37 Highland Ave |
$0.00 | 24 | 24 |
|
Robert L. Pruce
900 Wildflower Cir Ste 904 |
$26.92 | 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 Washington, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Washington, PA is $27.37 per claim, based on 31,851 claims from 13 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 Washington, PA?
There are 13 Medicaid providers offering Dental Cleaning & Exam related services in Washington, PA according to public payment data.
What is the price range for Dental Cleaning & Exam in Washington, PA?
Medicaid reimbursement for Dental Cleaning & Exam in Washington, PA ranges from $0.00 to $61.25 per claim, with an average of $27.37. 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 Washington, PA
Office Visit
Avg $42.05
115,863 claims
Blood Work & Lab Tests
Avg $2.46
51,344 claims
Physical Therapy
Avg $36.61
40,469 claims
Emergency Room Visit
Avg $96.94
36,050 claims
Speech Therapy
Avg $19.20
35,965 claims
Ambulance Transport
Avg $154.69
35,032 claims
EKG / ECG (Electrocardiogram)
Avg $7.95
28,286 claims
Durable Medical Equipment (DME)
Avg $39.25
22,540 claims