Average Medicaid Dental Cleaning & Exam Payments in Wauwatosa, WI: $18.22
Avg. Paid
$18.22
Range
$0.00 – $35.35
Total Claims
40,348
Providers
11
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 Wauwatosa, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brian J Blocher
201 N Mayfair Rd |
$19.42 | 16,542 | 15,536 |
|
Katharine Nelson Suwalski
7626 Warren Ave |
$20.48 | 7,049 | 6,776 |
|
Ratidzai Rioga
10625 W North Ave Ste 326 |
$4.07 | 5,772 | 4,823 |
|
Ann Marie Walsh Hoyme
8726 W North Ave |
$23.18 | 3,411 | 3,309 |
|
Prathi H Jain
11711 W Burleigh St |
$19.61 | 3,312 | 3,246 |
|
Randal G Stelzner
10425 W North Ave |
$18.58 | 1,473 | 1,338 |
|
Cherish Mudgett
3720 N 124Th St |
$24.80 | 1,325 | 1,241 |
|
Nicole M Simonetti
9000 W Wisconsin Ave |
$34.05 | 706 | 670 |
|
Stacy Hajinian Michels
10425 W North Ave |
$19.42 | 483 | 483 |
|
Travis Lepera
8915 W Connell Ave |
$35.35 | 237 | 231 |
|
Southeastern Pediatrics, Sc
10625 W North Ave Ste 326 |
$0.00 | 38 | 38 |
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 Wauwatosa, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Wauwatosa, WI is $18.22 per claim, based on 40,348 claims from 11 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 Wauwatosa, WI?
There are 11 Medicaid providers offering Dental Cleaning & Exam related services in Wauwatosa, WI according to public payment data.
What is the price range for Dental Cleaning & Exam in Wauwatosa, WI?
Medicaid reimbursement for Dental Cleaning & Exam in Wauwatosa, WI ranges from $0.00 to $35.35 per claim, with an average of $18.22. 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
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
3,240,448 claims · 723 providers
Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
Other Procedures in Wauwatosa, WI
Office Visit
Avg $34.81
306,279 claims
Psychiatric Evaluation
Avg $78.17
211,256 claims
Behavioral & Mental Health Therapy
Avg $162.47
142,204 claims
Emergency Room Visit
Avg $43.46
125,870 claims
Personal Care Services
Avg $42.40
102,563 claims
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Avg $38.70
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Avg $76.84
52,748 claims