Average Medicaid Dental Cleaning & Exam Payments in Wheeling, WV: $29.40
Avg. Paid
$29.40
Range
$12.42 – $49.82
Total Claims
56,114
Providers
21
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 Wheeling, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amber N Bauer
34 Carmel Rd |
$12.42 | 14,253 | 10,557 |
|
Donald Eugene Walter
1 Park View Ln |
$33.65 | 9,883 | 8,266 |
|
Dr. Ricardo Zambito
1201 Mount De Chantal Rd |
$36.21 | 6,802 | 6,505 |
|
Ricardo Dean Zambito
1201 Mount De Chantal Rd |
$34.78 | 6,080 | 4,579 |
|
Margaret Blaire Arnold
47 Washington Ave # 312 |
$49.82 | 4,092 | 4,086 |
|
Christopher M Zambito
1201 Mount De Chantal Rd |
$25.08 | 3,043 | 2,277 |
|
Elliot P. Schlang Dds, Inc.
47 Washington Ave # 312 |
$36.57 | 2,309 | 2,283 |
|
Victor R Canestraro
1052 E Bethlehem Blvd |
$32.55 | 1,999 | 1,728 |
|
Alex High
1203 Mount De Chantal Rd |
$33.50 | 1,862 | 1,637 |
|
Katherine Joan Steele
204 Kruger Street, Suite 1 |
$30.47 | 1,549 | 1,520 |
|
Philip D High
1203 Mount De Chantal Rd |
$33.86 | 1,265 | 1,107 |
|
Wheeling Health Right, Inc.
61 29Th Street |
$35.94 | 897 | 737 |
|
Natalie Virginia Nelson
2100 Market St |
$30.07 | 799 | 704 |
|
Natalie Nelson Dds Pllc
89 12Th St |
$37.29 | 383 | 383 |
|
Stefanie A Yahn
1804 Warwood Ave |
$34.23 | 234 | 209 |
|
Katie Steele Dds Pllc, Steele Pediatric Dentistry
204 Kruger St Ste 1 |
$32.05 | 225 | 224 |
|
Hamed M Motlagh
53 14Th St Ste 208 |
$30.65 | 154 | 153 |
|
Walter Family Dentistry Pc
1 Park View Ln |
$35.73 | 117 | 102 |
|
Michael Medovic
53 14Th St |
$32.67 | 99 | 75 |
|
Charles Keith Hieronimus
Rd #3 Box 501 |
$31.31 | 42 | 41 |
|
Matthew James Karnoupakis
160 Kruger St |
$32.15 | 27 | 25 |
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 Wheeling, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Wheeling, WV is $29.40 per claim, based on 56,114 claims from 21 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 Wheeling, WV?
There are 21 Medicaid providers offering Dental Cleaning & Exam related services in Wheeling, WV according to public payment data.
What is the price range for Dental Cleaning & Exam in Wheeling, WV?
Medicaid reimbursement for Dental Cleaning & Exam in Wheeling, WV ranges from $12.42 to $49.82 per claim, with an average of $29.40. 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 Wheeling, WV
Office Visit
Avg $51.57
471,387 claims
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Avg $21.61
404,602 claims
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Avg $190.69
361,754 claims
Emergency Room Visit
Avg $121.67
300,977 claims
X-Ray
Avg $10.54
285,734 claims
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Avg $104.80
253,274 claims
CT Scan (Computed Tomography)
Avg $67.30
113,973 claims
Durable Medical Equipment (DME)
Avg $40.01
113,360 claims