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 |
|---|---|---|---|
|
Connie F. Cicorelli, D.D.S., P.A.
1401 Silverside Rd |
$39.14 | 12 | 12 |
|
Naamans Dental Llc
2018 Naamans Rd |
$69.33 | 13 | 13 |
|
Peter Francis Subach
1601 Milltown Rd Suite 17 |
$68.70 | 13 | 13 |
|
Sohaib Usmani
900 Foulk Rd |
$42.51 | 15 | 15 |
|
Christopher James Tai
1415 Foulk Rd |
$32.62 | 16 | 15 |
|
Daniel E. Matthews
1403 Silverside Rd |
$44.07 | 16 | 16 |
|
Rinku Parmar
2036 Foulk Rd |
$39.38 | 16 | 15 |
|
Laura Ann Dougherty
1601 Milltown Rd |
$28.27 | 16 | 13 |
|
Delaware Periodontics And Implants Llc
2300 Pennsylvania Ave Unit 5D |
$71.87 | 16 | 14 |
|
Pinter Family Dental
2415 Milltown Rd |
$63.53 | 26 | 26 |
|
Maryann K. Bailey
1802 W 4Th St |
$32.96 | 35 | 26 |
|
Javier Sanz Moliner
2300 Pennsylvania Ave Ste 5C |
$61.66 | 35 | 30 |
|
Shefali Pandya Upadhyay
707 Foulk Rd |
$37.20 | 38 | 37 |
|
Adeline Lydia Farhi
301 S Dupont Rd |
$32.93 | 48 | 44 |
|
Rosemary K And Timothy J Clay Dmd
533 Main St |
$0.00 | 49 | 49 |
|
Frank Luxl
1 The Commons |
$53.36 | 55 | 55 |
|
Fadi N. Kosa
501 W 14Th St |
$47.89 | 56 | 54 |
|
Zachary Fain Reicher
501 W. 14Th St |
$31.88 | 57 | 53 |
|
Kathy Zinas Kirifides
1802 W 4Th St |
$31.90 | 85 | 77 |
|
Southbridge Medical Advisory Council Inc
601 New Castle Ave |
$60.63 | 100 | 93 |
|
Shefali Pandya, D.M.D., P.A.
707 Foulk Rd |
$36.23 | 104 | 93 |
|
Richard D Bond
1415 Foulk Rd |
$71.88 | 104 | 103 |
|
John Facciolo
1304 N Broom St |
$38.04 | 119 | 105 |
|
Morgan Dorsey
533 Main St |
$64.54 | 121 | 119 |
|
Anne Pauline Annone
5317 Limestone Rd |
$60.97 | 129 | 129 |
|
Jillian Hernandez Sprague
501 W 14Th St |
$34.35 | 137 | 132 |
|
Dr. Clyde A. Maxwell Jr, Pa
303 E Lea Blvd |
$64.26 | 151 | 150 |
|
Megann Kelly Abedini
3301 Lancaster Pike Unit 3E-3F |
$44.06 | 158 | 147 |
|
Dale Richard Collins
5500 Skyline Dr |
$45.75 | 165 | 163 |
|
Hope Diane Thomas-Glavin
5317 Limestone Rd |
$51.60 | 184 | 177 |
|
Jeffrey J Emmi
1601 Milltown Rd Suite 25 |
$56.68 | 204 | 189 |
|
Jill Laurie Garrido
2000 Foulk Rd Ste C |
$26.38 | 207 | 199 |
|
Eric Esbitt
710 Greenbank Rd |
$40.91 | 216 | 207 |
|
Joseph C Kelly
2205 Silverside Road |
$35.06 | 237 | 221 |
|
Andrew Charles Swiatowicz
1211 Milltown Rd |
$16.67 | 239 | 180 |
|
Madhavi Karnam
5500 Skyline Dr Ste 2 |
$33.40 | 265 | 235 |
|
Timothy Jon Clay
533 Main St |
$58.84 | 272 | 232 |
|
Michael J Wahl
1601 Concord Pike |
$7.71 | 294 | 294 |
|
Kathy Lynne Redden
900 Foulk Rd |
$50.38 | 300 | 276 |
|
Krunal Shah
410 Foulk Rd Ste 204 |
$35.38 | 308 | 300 |
|
Avijit Goel
1401 Pennsylvania Ave |
$21.98 | 342 | 335 |
|
Christiana Care Health Services Inc
501 W 14Th St |
$33.01 | 345 | 333 |
|
The Nemours Foundation
1801 Rockland Rd |
$33.43 | 351 | 271 |
|
Corinthian Enterprises Llc
900 Foulk Rd Ste 203 |
$53.16 | 372 | 314 |
|
Cynthia Ann Mumma
4543 Stoney Batter Rd |
$36.48 | 384 | 297 |
|
Weatherhill Dental Associates Pa
5317 Limestone Road |
$32.73 | 385 | 332 |
|
Oral & Maxillofacial Surgery Associates, P.A.
2601 Annand Dr Ste 10 |
$44.92 | 416 | 370 |
|
Sirkinlevine Dental Associates
2018 Naamans Rd |
$56.10 | 455 | 417 |
|
Jason Justison
5513 Kirkwood Hwy |
$35.17 | 552 | 451 |
|
Rosemary K Clay
533 Main St |
$40.61 | 577 | 514 |
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