Average Medicaid Dental Cleaning & Exam Payments in West New York, NJ: $18.42
Avg. Paid
$18.42
Range
$7.95 – $138.15
Total Claims
111,548
Providers
23
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 New York, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lonnie Bruce Hall
329 60Th St |
$11.65 | 35,761 | 35,641 |
|
Tony Inhyun Chung
6204 Bergenline Ave |
$14.45 | 24,205 | 24,050 |
|
Jayashree Ramakrishnan
4914 Kennedy Blvd W |
$32.65 | 11,445 | 11,359 |
|
Ninoska Fergusson
5301 Broadway |
$13.54 | 10,354 | 10,191 |
|
Bradley S Miller
301 60Th St |
$36.13 | 4,838 | 4,748 |
|
Dentistry For All Wny Llc
5405 Bergenline Ave |
$17.45 | 3,557 | 3,481 |
|
Bergenline Top Dental
6204 Bergenline Ave |
$15.65 | 3,466 | 3,459 |
|
Maria Salazar
6219 Bergenline Ave |
$18.59 | 3,303 | 3,300 |
|
Francisco Javier Hernandez-Reyes
437 53Rd St Apt A2 |
$18.41 | 2,990 | 2,990 |
|
Hudson Dental Esthetics Pc
5300 Bergenline Ave |
$28.15 | 2,820 | 2,811 |
|
Nomi Isaacs
30 Ave At Port Imperial |
$18.86 | 2,639 | 2,622 |
|
Ileana Arias-Munoz
6325 Park Ave |
$35.22 | 1,552 | 536 |
|
Salazar Dental Llc
6219 Bergenline Ave |
$16.36 | 1,088 | 1,087 |
|
Evan Hertan
431 59Th St |
$21.63 | 870 | 240 |
|
Eddy Norberto Yapor
6412 Park Ave |
$118.12 | 545 | 426 |
|
Maria Margarita Espinosa-Dovale
5301 Broadway |
$74.95 | 460 | 417 |
|
Santvana Vyas
6020 Broadway |
$39.16 | 447 | 443 |
|
David F Paladines-Gaibor
6321 Bergenline Ave |
$32.39 | 417 | 379 |
|
North Hudson Community Action Corporation
5301 Broadway |
$16.27 | 310 | 309 |
|
Maria Jose De La Hoz
439 57Th St |
$7.95 | 199 | 169 |
|
Eric Manuel Valdes
536 62Nd St |
$38.52 | 181 | 181 |
|
Hudson Dental Center
6408 Bergenline Ave |
$15.63 | 86 | 86 |
|
Patricia Ruiz Dds Pc
5809 Madison St |
$138.15 | 15 | 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 West New York, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in West New York, NJ is $18.42 per claim, based on 111,548 claims from 23 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 New York, NJ?
There are 23 Medicaid providers offering Dental Cleaning & Exam related services in West New York, NJ according to public payment data.
What is the price range for Dental Cleaning & Exam in West New York, NJ?
Medicaid reimbursement for Dental Cleaning & Exam in West New York, NJ ranges from $7.95 to $138.15 per claim, with an average of $18.42. 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 New York, NJ
Home Health Visit
Avg $87.64
3,235,996 claims
Office Visit
Avg $32.72
442,015 claims
Vaccines & Immunizations
Avg $13.63
143,063 claims
Eye Exam
Avg $15.80
57,718 claims
Blood Work & Lab Tests
Avg $2.72
39,792 claims
Hearing Test (Audiometry)
Avg $9.52
39,689 claims
Pathology & Lab Services
Avg $31.06
37,418 claims
Urinalysis & Urine Tests
Avg $0.60
24,666 claims