Average Medicaid Dental Cleaning & Exam Payments in Wilmington, DE: $47.53
Avg. Paid
$47.53
Range
$0.00 – $71.88
Total Claims
375,713
Providers
107
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 Wilmington, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mid-Atlantic Dental Partners Delaware Ii Professional Associates
4201 Miller Rd |
$53.90 | 63,916 | 60,368 |
|
Dental Management Strategies Llc
1415 Foulk Rd Ste 200 |
$40.82 | 18,819 | 15,157 |
|
Children'S Dental Health Of Delaware - Wilmington, Pa
708 Foulk Rd |
$50.84 | 17,827 | 17,236 |
|
Patrick Whilby
501 W 14Th St |
$42.32 | 17,363 | 16,884 |
|
Brandywine Pediatric Dentistry, P.A.
2000 Foulk Rd Ste C |
$50.91 | 16,341 | 15,558 |
|
Children'S Dental Health Of Delaware, Llc
3301 Lancaster Pike # 3E3F |
$52.35 | 16,305 | 15,981 |
|
Crescent Dental, Llc
129 S. West St. |
$41.98 | 13,881 | 12,353 |
|
Kirkwood Dental Associates
710 Greenbank Rd |
$39.40 | 13,804 | 11,977 |
|
Rachel A Maher,Dmd, Pa
2036 Foulk Rd |
$50.14 | 13,708 | 12,771 |
|
Robert M Collins Dds Pa
5500 Skyline Dr |
$51.85 | 12,609 | 12,282 |
|
Avalon Dental Llc
6 Larch Ave |
$51.44 | 11,545 | 11,197 |
|
Emerald Dental
533 Main St |
$49.29 | 10,572 | 9,179 |
|
Concord Dental, Llc
2304 Concord Pike |
$58.38 | 9,083 | 8,530 |
|
Dustin Richard Root
1600 Rockland Rd |
$23.37 | 8,462 | 8,434 |
|
Laurie B Jacobs
708 Foulk Rd |
$53.58 | 8,141 | 7,973 |
|
The Nemours Foundation
1600 Rockland Rd |
$41.73 | 8,060 | 6,974 |
|
Katheryn Goldman
1600 Rockland Rd |
$35.25 | 7,707 | 7,702 |
|
Pike Creek Dental Llc
4901 Limestone Rd |
$41.66 | 7,043 | 6,212 |
|
Westside Family Healthcare, Inc
1802 W 4Th St |
$40.18 | 6,425 | 5,378 |
|
Alexa M Brancato
2003 Concord Pike |
$31.58 | 5,839 | 4,758 |
|
Smile Solutions By Emmi Dental Associates
1601 Milltown Rd |
$54.45 | 5,298 | 4,759 |
|
Parham Farhi
301 S Dupont Rd |
$49.29 | 5,246 | 4,912 |
|
Wahl Family Dentistry
1601 Concord Pike |
$50.81 | 4,756 | 4,609 |
|
Lida Alimorad
1600 Rockland Rd |
$36.47 | 4,167 | 4,136 |
|
Robert M Collins
5500 Skyline Dr |
$47.24 | 3,765 | 3,703 |
|
Patricia Hanlon Rist
4201 Miller Rd |
$51.27 | 3,757 | 3,686 |
|
Clyde A Maxwell
303 E Lea Blvd |
$48.77 | 3,691 | 3,626 |
|
Andina Dental Studio Inc
4100 Dawnbrook Dr Ste 4 |
$61.72 | 3,286 | 3,155 |
|
David Dieu Dmd, Md, Pa
1202 Foulk Road |
$47.50 | 3,206 | 2,909 |
|
Swiatowicz Dental Associates, P.A.
1211 Milltown Rd |
$38.91 | 3,107 | 2,680 |
|
Christiana Care Health Services Inc
501 W 14Th St |
$32.83 | 3,070 | 2,770 |
|
Lewis J Yu
4543 Stoney Batter Rd |
$47.14 | 2,756 | 2,617 |
|
Rachel A Maher
2036 Foulk Rd |
$45.13 | 2,497 | 2,375 |
|
Joseph C. Kelly, Jr., D.D.S.,Pa
2205 Silverside Rd |
$45.68 | 2,486 | 2,223 |
|
George T Derenzo
4201 Miller Rd |
$45.92 | 2,430 | 2,321 |
|
Practice Without Pressure Pike Creek
3105 Limestone Rd |
$43.54 | 2,288 | 1,797 |
|
Nancy Kate Pancko
2300 Pennsylvania Ave |
$68.80 | 2,194 | 2,100 |
|
Dental Diamond Llc
1 Winston Ave |
$51.62 | 1,888 | 1,738 |
|
Margaret M Schmitt
1601 Concord Pike |
$48.48 | 1,499 | 1,457 |
|
Andres Mauricio Hurtado
1802 W 4Th St |
$61.04 | 1,477 | 1,388 |
|
Justin Batcheller
601 New Castle Ave |
$16.34 | 1,462 | 1,389 |
|
Anthony W. Vattilana
2309 Pennsylvania Ave |
$57.18 | 1,442 | 1,258 |
|
First State Dental P.A.
1702 Lovering Ave |
$54.58 | 1,358 | 1,318 |
|
Syamack Ganjavian
129 S West St |
$51.74 | 1,273 | 1,216 |
|
Jean Anne Garripoli Wahl
1601 Concord Pike |
$51.64 | 1,239 | 1,206 |
|
Saqib Usmani
5317 Limestone Rd |
$45.08 | 1,230 | 1,122 |
|
Marissa A. Schnelle
4901 Limestone Rd |
$44.24 | 900 | 861 |
|
Wilmington Pediatric Dentistry Pa
Wilmington Pediatric Dentistry |
$51.19 | 897 | 817 |
|
Era Pyakurel
4201 Miller Rd |
$48.91 | 884 | 879 |
|
Wilmington Dental Associates
2309 Pennsylvania Ave |
$66.09 | 882 | 835 |
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 Wilmington, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Wilmington, DE is $47.53 per claim, based on 375,713 claims from 107 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 Wilmington, DE?
There are 107 Medicaid providers offering Dental Cleaning & Exam related services in Wilmington, DE according to public payment data.
What is the price range for Dental Cleaning & Exam in Wilmington, DE?
Medicaid reimbursement for Dental Cleaning & Exam in Wilmington, DE ranges from $0.00 to $71.88 per claim, with an average of $47.53. 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 Wilmington, DE
Personal Care Services
Avg $113.14
1,523,473 claims
Office Visit
Avg $55.68
1,174,146 claims
Substance Abuse Treatment
Avg $14.51
1,110,493 claims
Vaccines & Immunizations
Avg $9.43
497,265 claims
Emergency Room Visit
Avg $187.07
346,985 claims
Physical Therapy
Avg $30.41
305,435 claims
Psychiatric Evaluation
Avg $47.31
297,416 claims
Blood Work & Lab Tests
Avg $19.23
287,397 claims