Average Medicaid Dental Cleaning & Exam Payments in Waterloo, IA: $22.88
Avg. Paid
$22.88
Range
$0.00 – $51.27
Total Claims
146,099
Providers
34
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 Waterloo, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicole Diana Del Carpio
4015 Hurst Dr |
$35.53 | 25 | 25 |
|
Eric Lee Kimball
315 E San Marnan Dr |
$31.16 | 28 | 26 |
|
Craig Warren Driver
3308 Kimball Ave |
$20.62 | 32 | 29 |
|
Dylan James Whittemore
3120 Kimball Ave |
$29.13 | 43 | 42 |
|
Eric Spurgeon
905 Franklin St |
$23.80 | 59 | 55 |
|
William Ira Cozart
726 South St |
$28.13 | 159 | 159 |
|
James J Cahill
3308 Kimball Ave |
$21.15 | 221 | 212 |
|
Jamie Petrie
905 Franklin St |
$20.62 | 363 | 346 |
|
Sahara Pradhan
905 Franklin St |
$0.00 | 464 | 449 |
|
Christopher Michael Aldrich
2102 Kimball Ave |
$20.66 | 645 | 591 |
|
David Keith Whittemore
3120 Kimball Ave |
$27.95 | 806 | 793 |
|
Ala'A Al Arabi
2765 Crossroads Blvd |
$51.27 | 979 | 971 |
|
William C Bolick
424 South St |
$21.98 | 1,025 | 953 |
|
Baljit Singh
905 Franklin St |
$1.32 | 1,067 | 943 |
|
Mark Scott Schreiner
1709 University Ave |
$18.94 | 1,075 | 796 |
|
Emma Katherine Richter
4031 Bankers Blvd |
$26.52 | 1,550 | 1,524 |
|
Teryl Dale Edwards
220 W Ridgeway |
$23.94 | 1,887 | 1,831 |
|
Kathleen Jo Bohr
3308 Kimball Ave |
$27.50 | 1,913 | 1,887 |
|
Katie Milden
905 Franklin St |
$24.16 | 2,031 | 1,996 |
|
Jeffrey Smith
220 W Ridgeway |
$24.76 | 2,357 | 2,330 |
|
Paymun Bayati
1022 West 5Th St |
$24.68 | 2,425 | 2,332 |
|
Ryan Norman Borgwardt
820 Fisher Drive |
$28.18 | 2,428 | 2,310 |
|
Rachel Michelle Lemus
4015 Hurst Dr |
$1.91 | 2,651 | 2,588 |
|
Laura Kurtz
4031 Bankers Blvd |
$24.48 | 2,925 | 2,840 |
|
Michael T Letkewicz
3430 Kimball Ave |
$26.27 | 3,724 | 3,718 |
|
Alex Michael Vitzthum
1115 South St |
$22.91 | 5,692 | 5,190 |
|
Ayah Bilbeisi
905 Franklin St |
$27.72 | 6,080 | 5,733 |
|
Benjamin Robert Squires
3308 Kimball Ave |
$24.60 | 8,550 | 8,299 |
|
Keith J Whittemore
3120 Kimball Ave |
$24.97 | 9,239 | 9,002 |
|
Christopher Glenn Eastman
2765 Crossroads Blvd |
$27.17 | 9,259 | 9,156 |
|
Peoples Community Health Clinic, Inc.
905 Franklin St |
$0.00 | 10,905 | 10,532 |
|
Scott Ryan Hansen
2102 Kimball Ave |
$25.57 | 11,825 | 11,604 |
|
Carol Halloran
1950 Plymouth Ave |
$25.60 | 21,644 | 21,230 |
|
Jyoti Prakash Chowdhury
239 E San Marnan Dr |
$24.79 | 32,023 | 30,449 |
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 Waterloo, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Waterloo, IA is $22.88 per claim, based on 146,099 claims from 34 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 Waterloo, IA?
There are 34 Medicaid providers offering Dental Cleaning & Exam related services in Waterloo, IA according to public payment data.
What is the price range for Dental Cleaning & Exam in Waterloo, IA?
Medicaid reimbursement for Dental Cleaning & Exam in Waterloo, IA ranges from $0.00 to $51.27 per claim, with an average of $22.88. 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 Waterloo, IA
Office Visit
Avg $28.16
739,153 claims
Psychiatric Evaluation
Avg $73.45
295,888 claims
Blood Work & Lab Tests
Avg $1.88
292,063 claims
Emergency Room Visit
Avg $132.61
230,395 claims
Behavioral & Mental Health Therapy
Avg $100.02
178,626 claims
Vaccines & Immunizations
Avg $9.90
141,531 claims
Non-Emergency Medical Transportation
Avg $31.27
140,190 claims
Personal Care Services
Avg $322.89
97,883 claims