Average Medicaid Dental Cleaning & Exam Payments in Williamsville, NY: $35.50
Avg. Paid
$35.50
Range
$13.66 – $86.90
Total Claims
115,792
Providers
32
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 Williamsville, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kevin Gregory Clauser
1630 Maple Rd Ste 400 |
$40.17 | 30,523 | 30,508 |
|
David Carl Mccloe
1800 Maple Rd |
$26.38 | 25,304 | 25,206 |
|
Erica Lynne Scott
8 Brookside Dr |
$38.25 | 13,933 | 13,912 |
|
Doreen Bussi Strzalka
8560 Main St |
$36.49 | 10,463 | 10,461 |
|
Dianna Melman
7500 Transit Rd |
$38.92 | 7,417 | 7,417 |
|
Vladlen Kivovich
7500 Transit Rd |
$37.01 | 6,402 | 6,401 |
|
Huron O Hill
1331 North Forest Road |
$38.42 | 3,710 | 3,710 |
|
Kevin D Nowicki
1630 Maple Rd Ste 400 |
$35.61 | 3,652 | 3,652 |
|
James Arthur Glennon,Jr
5132 Sheridan Dr |
$38.74 | 3,300 | 3,298 |
|
Kaliopi Kelly Tsimidis-Vukas
19 Limestone Dr Ste 2 |
$37.32 | 1,858 | 1,858 |
|
Walter Zimdahl
5590 Main St |
$38.71 | 1,592 | 1,576 |
|
Joseph Edward Margarone
6490 Main St |
$28.61 | 1,489 | 1,489 |
|
Kevin M. Apolito
1020 Youngs Rd |
$34.94 | 1,362 | 1,362 |
|
Maria Elizabeth Giglia Pieri
6797 Main St |
$41.61 | 1,324 | 1,324 |
|
Yvonne L Carney
1020 Youngs Rd |
$32.87 | 630 | 628 |
|
Stellar Dental Care
7500 Transit Rd |
$37.29 | 574 | 574 |
|
Katherine Lynn Pauly
1321 Millersport Hwy Ste 202 |
$13.66 | 558 | 533 |
|
Matthew Scott Rossen
6653 Main St Ste B |
$16.17 | 435 | 433 |
|
Western New York Dental Group,Pc
125 Lawrence Bell Dr |
$37.74 | 362 | 362 |
|
Joshua Todd Hutter
125 Lawrence Bell Dr |
$33.57 | 237 | 237 |
|
Anthony J Costanzo
1020 Youngs Rd |
$31.66 | 192 | 192 |
|
Peter Davidow
150 Maple Rd |
$15.88 | 167 | 167 |
|
Steven Michael Bleck
1321 Millersport Hwy |
$15.76 | 78 | 78 |
|
Paul A Weiss
1150 Youngs Rd |
$35.09 | 60 | 60 |
|
Constance Jin Wentworth
19 Limestone Dr Ste 2 |
$40.98 | 39 | 34 |
|
Hesham Eltagouri
8201 Main St Ste 5 |
$86.90 | 29 | 29 |
|
Mary Candace Collard
6490 Main Street |
$51.27 | 26 | 26 |
|
Gerald Thomas Carlo
33 Maple Rd |
$46.62 | 25 | 25 |
|
Benjamin David Oppenheimer
33 Melrose Rd |
$55.10 | 14 | 14 |
|
Anthony J Domenico
5353 Main St |
$50.00 | 13 | 13 |
|
Janice Valerie Roseman
13 Hopkins Rd |
$39.42 | 12 | 12 |
|
Robert A Gianadda
125 Lawrence Bell Dr |
$58.00 | 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 Williamsville, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Williamsville, NY is $35.50 per claim, based on 115,792 claims from 32 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 Williamsville, NY?
There are 32 Medicaid providers offering Dental Cleaning & Exam related services in Williamsville, NY according to public payment data.
What is the price range for Dental Cleaning & Exam in Williamsville, NY?
Medicaid reimbursement for Dental Cleaning & Exam in Williamsville, NY ranges from $13.66 to $86.90 per claim, with an average of $35.50. 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 Williamsville, NY
Office Visit
Avg $63.94
418,439 claims
Home Health Visit
Avg $146.04
363,091 claims
X-Ray
Avg $7.38
320,005 claims
Emergency Room Visit
Avg $99.33
173,209 claims
Blood Work & Lab Tests
Avg $9.08
152,262 claims
EKG / ECG (Electrocardiogram)
Avg $6.36
110,633 claims
CT Scan (Computed Tomography)
Avg $49.92
105,215 claims
Eye Exam
Avg $44.98
85,427 claims