Average Medicaid Dental Cleaning & Exam Payments in Wellesley, MA: $33.07
Avg. Paid
$33.07
Range
$14.00 – $43.00
Total Claims
50,744
Providers
12
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 Wellesley, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Thomas Carabatsos
888 Worcester St |
$34.70 | 21,596 | 21,018 |
|
Russell B Litin
888 Worcester St |
$35.66 | 14,382 | 13,985 |
|
Alice Hassin Jalal
888 Worcester St |
$17.23 | 3,781 | 3,582 |
|
Alec H. Jaret
888 Worcester St |
$43.00 | 3,159 | 3,087 |
|
Scott Goodson Cale
888 Worcester St |
$31.57 | 2,965 | 2,862 |
|
James G Plessman
888 Worcester St |
$19.81 | 2,270 | 2,159 |
|
Joan Thompson
888 Worcester St |
$25.83 | 1,394 | 1,165 |
|
Emrey Moskowitz-Porath
310 Washington St Ste 208 |
$35.62 | 448 | 444 |
|
Bradford Richard Mattison
1 Hollis St Ste 340 |
$31.49 | 432 | 399 |
|
Kyrolos Ibrahim
20 William St Ste G75 |
$42.80 | 168 | 168 |
|
Kevin F Toomey
372 Washington St |
$26.80 | 128 | 100 |
|
Douglas K. Vassos
1 Hollis St |
$14.00 | 21 | 13 |
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 Wellesley, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Wellesley, MA is $33.07 per claim, based on 50,744 claims from 12 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 Wellesley, MA?
There are 12 Medicaid providers offering Dental Cleaning & Exam related services in Wellesley, MA according to public payment data.
What is the price range for Dental Cleaning & Exam in Wellesley, MA?
Medicaid reimbursement for Dental Cleaning & Exam in Wellesley, MA ranges from $14.00 to $43.00 per claim, with an average of $33.07. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
Brooklyn, NY
Avg $29.76
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Chicago, IL
Avg $29.66
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Los Angeles, CA
Avg $49.60
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Houston, TX
Avg $39.95
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
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Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
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Other Procedures in Wellesley, MA
Office Visit
Avg $82.88
42,134 claims
Eye Exam
Avg $16.17
19,724 claims
Psychiatric Evaluation
Avg $64.64
12,509 claims
Behavioral & Mental Health Therapy
Avg $221.36
8,618 claims
Nursing Facility Care
Avg $13.36
8,366 claims
Hearing Test (Audiometry)
Avg $9.13
5,358 claims
Non-Emergency Medical Transportation
Avg $9.32
4,908 claims
Dental Filling
Avg $63.03
3,881 claims