Average Medicaid Dental Cleaning & Exam Payments in West Chester, PA: $29.38
Avg. Paid
$29.38
Range
$0.00 – $31.58
Total Claims
51,093
Providers
14
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 Chester, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edward Garjarian
300 Willowbrook Ln Ste 330 |
$31.58 | 10,423 | 10,254 |
|
Niyathi Srinivasan
300 Willowbrook Ln Ste 300 |
$31.48 | 9,482 | 9,430 |
|
Divya R Muchintal
1440 Pottstown Pike # 6 |
$29.56 | 8,030 | 7,895 |
|
Stephanie Michelle Calora
200 Willowbrook Ln Ste 220 |
$29.66 | 7,864 | 7,765 |
|
Chandni J. Patel
200 Willowbrook Ln Ste 220 |
$29.53 | 6,800 | 6,686 |
|
Joseph Zaino
200 Willowbrook Ln Ste 220 |
$27.82 | 3,550 | 3,542 |
|
Zheng Yao
1450 E Boot Rd Ste 500A |
$25.50 | 2,647 | 2,631 |
|
N. Wayne Zaayenga
1302 Ship Rd |
$24.54 | 870 | 867 |
|
Yvonne Eleanor Deloache
301 S High St |
$3.61 | 585 | 581 |
|
Vu Ngoc Nguyen
1381 E Boot Rd |
$25.64 | 474 | 472 |
|
Kathy Guo
313 W Boot Rd |
$0.00 | 153 | 153 |
|
Jeffrey Penfil
106 S High St |
$0.00 | 109 | 90 |
|
Margaret Helen Lee
403 N 5 Points Rd |
$0.00 | 92 | 92 |
|
John Joseph Supczenski
1580 Mcdaniel Dr |
$24.84 | 14 | 14 |
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 Chester, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in West Chester, PA is $29.38 per claim, based on 51,093 claims from 14 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 Chester, PA?
There are 14 Medicaid providers offering Dental Cleaning & Exam related services in West Chester, PA according to public payment data.
What is the price range for Dental Cleaning & Exam in West Chester, PA?
Medicaid reimbursement for Dental Cleaning & Exam in West Chester, PA ranges from $0.00 to $31.58 per claim, with an average of $29.38. 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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