Average Medicaid Dental Cleaning & Exam Payments in West Springfield, MA: $41.34
Avg. Paid
$41.34
Range
$23.31 – $53.00
Total Claims
90,729
Providers
15
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 Springfield, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert L Matthews
232 Park Street |
$42.31 | 17,858 | 17,377 |
|
Vijay Bhaskar Reddy Gaddam
1073 Riverdale St |
$42.37 | 17,359 | 16,394 |
|
Arnold D Silverman
46 Daggett Dr |
$43.13 | 16,966 | 16,691 |
|
Mikin Patel
235B Memorial Ave |
$39.81 | 11,362 | 11,093 |
|
Chandra Mohan Manish
235B Memorial Avenue |
$40.18 | 10,591 | 10,352 |
|
Divya Mudumba
353 Rogers Ave |
$43.26 | 8,701 | 8,508 |
|
Brian Layton Saltzman
1132 Westfield St |
$32.37 | 4,075 | 3,947 |
|
Gary Frank Circosta
93 Van Deene Ave |
$35.92 | 1,711 | 1,697 |
|
Timothy Eshak
235B Memorial Ave |
$44.30 | 1,095 | 1,088 |
|
Vivek Arora
1073 Riverdale St |
$23.31 | 357 | 353 |
|
Riverside Dental Llc
235B Memorial Avenue |
$40.20 | 267 | 254 |
|
Yasir Al-Drugh
93 Van Deene Ave |
$32.38 | 256 | 254 |
|
Cole Gary Archambault
1284 Elm St |
$33.10 | 89 | 89 |
|
Lee Hood
1284 Elm Street |
$37.50 | 30 | 30 |
|
West Springfield Family Dental P.C.
1096 Memorial Ave |
$53.00 | 12 | 12 |
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 Springfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in West Springfield, MA is $41.34 per claim, based on 90,729 claims from 15 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 Springfield, MA?
There are 15 Medicaid providers offering Dental Cleaning & Exam related services in West Springfield, MA according to public payment data.
What is the price range for Dental Cleaning & Exam in West Springfield, MA?
Medicaid reimbursement for Dental Cleaning & Exam in West Springfield, MA ranges from $23.31 to $53.00 per claim, with an average of $41.34. 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 Springfield, MA
Non-Emergency Medical Transportation
Avg $22.81
453,715 claims
Office Visit
Avg $63.17
284,965 claims
Home Health Visit
Avg $38.25
233,518 claims
Psychiatric Evaluation
Avg $57.13
218,326 claims
Physical Therapy
Avg $19.87
140,713 claims
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Avg $15.62
124,081 claims
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Avg $192.98
78,003 claims
Durable Medical Equipment (DME)
Avg $29.84
62,815 claims