Average Medicaid Dental Cleaning & Exam Payments in West Covina, CA: $49.90
Avg. Paid
$49.90
Range
$0.00 – $72.35
Total Claims
383,558
Providers
61
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 Covina, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rafik Yanni
2413 S Azusa Ave |
$59.58 | 12 | 12 |
|
Jeremy Chau
851 S Sunset Ave Apt 224 |
$35.00 | 16 | 16 |
|
Megan B Ly
1013 S Glendora Ave |
$45.00 | 26 | 26 |
|
Erix Fredy Santillana
410 E Merced Ave |
$65.07 | 27 | 27 |
|
Mayflower Medical Group, Inc.
140 N Orange Ave. |
$0.00 | 28 | 28 |
|
Peter Farouk Samaan
1300 S Sunset Ave |
$0.00 | 32 | 26 |
|
Rushina Jain
1215 W West Covina Pkwy |
$27.67 | 39 | 28 |
|
Lin Ma
2145 W Garvey Ave N |
$58.59 | 54 | 54 |
|
Uppal Dental Group, Inc
360 S Glendora Ave |
$34.83 | 66 | 61 |
|
Florence Lin Fong
1300 S Sunset Ave |
$0.00 | 66 | 65 |
|
Catherine N Nguyen
837 W Christopher St |
$37.36 | 86 | 86 |
|
Sarah Sanam Meshkanian
2233 E Garvey Ave N Ste A |
$51.15 | 91 | 91 |
|
Joseph Horng Ting Liu
1014 S Glendora Ave |
$19.36 | 96 | 94 |
|
Mohamad Hassan Kweider
2413 S Azusa Ave |
$57.28 | 98 | 98 |
|
Heidi Weizhang Kim
906 S Sunset Ave Ste 105 |
$63.45 | 126 | 126 |
|
Alex Benjamin Trinh
1208 W Francisquito Ave |
$58.68 | 201 | 197 |
|
Young Ho Cha
151 N Azusa Ave |
$42.14 | 210 | 210 |
|
Paul Quinto
1557 E Amar Rd |
$66.97 | 230 | 230 |
|
Christina Y Chun
2233 E Garvey Ave N |
$31.37 | 274 | 274 |
|
Emmanuel Ferrer Magalong
1415 W Garvey Ave |
$64.11 | 279 | 278 |
|
Peter Boutros
1208 W Francisquito Ave |
$27.85 | 297 | 293 |
|
Kar Yan Joanna Tong
404 N Lang Ave |
$36.09 | 321 | 321 |
|
Roxanne Ramirez Herrera
266 S Glendora Ave Ste A |
$63.06 | 371 | 356 |
|
Soheyla Marzvaan
266 S Glendora Ave Ste A |
$50.54 | 419 | 419 |
|
Altamed Health Services Corp
1300 S Sunset Ave |
$0.00 | 450 | 442 |
|
Chun Yao Liao
2420 S Azusa Ave |
$46.77 | 744 | 744 |
|
Jeremiah Jer Hjen Shaw
4141 S Nogales St Unit B103 |
$52.05 | 891 | 891 |
|
Imelda Diaz Soto
1031 E Amar Rd |
$66.96 | 1,157 | 1,151 |
|
Austin Le
3060 E Hillside Dr |
$53.13 | 1,235 | 1,230 |
|
Choon Kyung Kim
451 N Azusa Ave |
$56.61 | 1,265 | 1,262 |
|
Paul Chong Chan Lee
933 S Sunset Ave Ste 208 |
$34.38 | 1,289 | 1,288 |
|
Samuel Sauza
1050 Lakes Dr Ste 140 |
$30.70 | 1,313 | 1,298 |
|
Aileen Kim
933 S Sunset Ave |
$34.25 | 1,435 | 1,418 |
|
Luong Van Phan
837 W Christopher St |
$55.70 | 1,696 | 1,693 |
|
Kiatkachorn Ratanatharathorn
2420 S Azusa Ave |
$60.63 | 1,779 | 1,776 |
|
Gregory Earl Robins
1129 S Glendora Ave |
$40.13 | 1,823 | 1,816 |
|
Western Dental Services, Inc.
1208 W Francisquito Ave Ste E |
$0.00 | 2,188 | 2,182 |
|
Leila Nicole Manshadi
2700 E Workman Ave Ste A |
$62.24 | 2,380 | 2,376 |
|
Howard C Liang
2707 E Valley Blvd Ste 202 |
$65.96 | 2,873 | 2,866 |
|
Maninder Singh
1312 W Francisquito Ave Suite D4 |
$49.21 | 3,016 | 2,993 |
|
Mirhamid Salek
628 N Azusa Ave |
$66.13 | 3,193 | 3,182 |
|
Yaojen Chang
1129 South Glendora Avenue |
$64.21 | 3,338 | 3,323 |
|
Atul Suchak
910 S Sunset Ave |
$42.19 | 3,382 | 3,303 |
|
Joshua Kohan
2233 E Garvey Ave N Ste A |
$58.27 | 3,872 | 3,803 |
|
Philip Wang
1208 W Francisquito Ave |
$53.90 | 4,703 | 4,692 |
|
Cherag Dinshaw Sarkari Dds A Dental Corporation
1208 W Francisquito Ave |
$0.00 | 4,807 | 4,549 |
|
Steve Hanyoon Jun
2707 E Valley Blvd |
$63.19 | 5,454 | 5,452 |
|
Anna Lynn Tongson De Guzman
906 S Sunset Ave Ste 105 |
$58.77 | 5,752 | 5,751 |
|
Matthew Tabanfar
2225 E Garvey Ave N |
$47.45 | 6,301 | 6,287 |
|
Bahareh Rabii
2233 E Garvey Ave N |
$42.18 | 6,740 | 6,654 |
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 Covina, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in West Covina, CA is $49.90 per claim, based on 383,558 claims from 61 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 Covina, CA?
There are 61 Medicaid providers offering Dental Cleaning & Exam related services in West Covina, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in West Covina, CA?
Medicaid reimbursement for Dental Cleaning & Exam in West Covina, CA ranges from $0.00 to $72.35 per claim, with an average of $49.90. 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
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Avg $18.59
1,073,885 claims
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Avg $3.18
398,597 claims
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Avg $2.95
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Avg $14.46
222,916 claims
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Avg $1.39
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