Average Medicaid Dental Cleaning & Exam Payments in Wausau, WI: $34.47
Avg. Paid
$34.47
Range
$0.00 – $87.55
Total Claims
137,544
Providers
28
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 Wausau, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edmund Lawrence Markey
413 N 17Th Ave |
$42.52 | 23,553 | 23,034 |
|
Margaret C Chicka
413 N 17Th Ave |
$44.02 | 16,379 | 15,900 |
|
Joshua J Spiegl
413 N 17Th Ave |
$25.13 | 15,035 | 14,735 |
|
Meghan Elizabeth-Hash Nation
413 N 17Th Ave |
$46.84 | 14,969 | 14,643 |
|
John Robert Clifford
413 N 17Th Ave |
$40.68 | 13,488 | 13,065 |
|
Thomas Joseph Turner
413 N 17Th Ave |
$28.25 | 7,807 | 7,729 |
|
Anna Kramer
413 N 17Th Ave |
$36.04 | 6,899 | 6,518 |
|
Monica Ruzek
1810 N 2Nd St |
$5.22 | 6,762 | 6,358 |
|
Kirandeep Kaur
519 N 17Th Ave |
$17.71 | 5,641 | 5,398 |
|
Corey Lee Brimacombe
413 N 17Th Ave |
$43.12 | 5,071 | 4,996 |
|
Chad Boers
1000 W Campus Dr |
$25.45 | 4,476 | 3,808 |
|
Tessa Marie Laber
1810 N. 2Nd Street |
$2.87 | 3,941 | 3,552 |
|
Damon Cole
413 N 17Th Ave |
$34.32 | 3,390 | 3,223 |
|
Kendal A Lane
413 N 17Th Ave |
$34.43 | 2,828 | 2,720 |
|
Betsy A. Ness
413 N 17Th Ave |
$33.20 | 2,739 | 2,735 |
|
Marym Lakhani
1810 N 2Nd St |
$0.00 | 1,457 | 1,419 |
|
Rylee Dehnel
413 N 17Th Ave |
$37.30 | 1,218 | 1,130 |
|
Gregory A Lamansky
5305 Rib Mountain Dr |
$49.73 | 491 | 479 |
|
Patrick C W Kline
2600 Stewart Ave |
$87.55 | 469 | 469 |
|
Amanda Marie Beversdorf
413 N 17Th Ave |
$21.57 | 223 | 223 |
|
Eric J Gabrielsen
200 E. Bridge St. |
$28.60 | 141 | 136 |
|
Stephanie Brecke
413 N 17Th Ave |
$46.95 | 121 | 121 |
|
Nicole Marie Shinners
151388 Jonquil Ln |
$32.63 | 101 | 98 |
|
Keith Gerard Simons
1204 Merrill Ave |
$13.51 | 83 | 62 |
|
Sara Lea Schult
2600 Stewart Ave |
$27.24 | 81 | 81 |
|
Carl John Hash
413 N 17Th Ave |
$42.77 | 75 | 75 |
|
Judy Lao
413 North 17Th Avenue |
$47.09 | 65 | 65 |
|
Megan Nemitz
1810 2Nd St |
$0.00 | 41 | 30 |
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 Wausau, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Wausau, WI is $34.47 per claim, based on 137,544 claims from 28 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 Wausau, WI?
There are 28 Medicaid providers offering Dental Cleaning & Exam related services in Wausau, WI according to public payment data.
What is the price range for Dental Cleaning & Exam in Wausau, WI?
Medicaid reimbursement for Dental Cleaning & Exam in Wausau, WI ranges from $0.00 to $87.55 per claim, with an average of $34.47. 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
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