Average Medicaid Dental Cleaning & Exam Payments in West Allis, WI: $22.65
Avg. Paid
$22.65
Range
$0.00 – $29.20
Total Claims
65,378
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 West Allis, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Clifford Robert Hartmann
10202 W Hayes Ave |
$23.95 | 24 | 24 |
|
Peter Limberatos
7130 W Greenfield Ave |
$18.54 | 105 | 104 |
|
Advanced Dental
6425 W Greenfield Ave |
$0.00 | 141 | 44 |
|
Kevin Hughes
7500 W Lincoln Ave |
$13.82 | 277 | 264 |
|
Gloria Lee
2323 S 109Th St Ste 275 |
$28.35 | 446 | 394 |
|
Dr. James R. Maurin Dds Sc
10401 W Lincoln Ave |
$17.71 | 446 | 440 |
|
Kristen K Paulson
555 S 108Th St |
$27.48 | 1,426 | 1,390 |
|
James Michael Fakler
6033 W National Ave |
$0.00 | 4,064 | 3,841 |
|
Jay Patel
7512 W Oklahoma Ave |
$29.20 | 4,212 | 4,109 |
|
Douglas Persich
7130 W Greenfield Ave |
$20.20 | 5,353 | 4,928 |
|
Sabreen O Owais
555 S 108Th St |
$27.70 | 13,393 | 13,054 |
|
Hai Zhang
2387 S 102Nd St |
$22.91 | 35,491 | 33,592 |
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 West Allis, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in West Allis, WI is $22.65 per claim, based on 65,378 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 West Allis, WI?
There are 12 Medicaid providers offering Dental Cleaning & Exam related services in West Allis, WI according to public payment data.
What is the price range for Dental Cleaning & Exam in West Allis, WI?
Medicaid reimbursement for Dental Cleaning & Exam in West Allis, WI ranges from $0.00 to $29.20 per claim, with an average of $22.65. 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 West Allis, WI
Blood Work & Lab Tests
Avg $10.67
2,219,954 claims
Substance Abuse Treatment
Avg $10.23
794,082 claims
Urinalysis & Urine Tests
Avg $6.94
408,963 claims
Personal Care Services
Avg $15.42
305,976 claims
Culture & Microbiology Tests
Avg $7.05
275,777 claims
Office Visit
Avg $34.91
227,990 claims
Home Health Visit
Avg $34.84
227,188 claims
Pathology & Lab Services
Avg $27.38
221,804 claims