Average Medicaid Dental Cleaning & Exam Payments in Winchester, MA: $41.05
Avg. Paid
$41.05
Range
$38.83 – $53.26
Total Claims
30,044
Providers
11
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 Winchester, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Geraldine C Garcia-Rogers
955 Main St |
$38.83 | 6,923 | 6,815 |
|
Hui Huang
831 Main St Fl 2 |
$40.74 | 6,452 | 6,359 |
|
Karina Vergara
955 Main St Ste 101 |
$39.50 | 4,111 | 3,982 |
|
Kristen Elizabeth Huber
955 Main St Ste 101 |
$41.15 | 3,085 | 3,078 |
|
Nicole Judith Harrington
955 Main St |
$39.39 | 2,026 | 2,014 |
|
Robert Marc Grassi
18 Sussex Rd |
$53.26 | 1,879 | 1,708 |
|
Hayley Golden
955 Main St Ste 101 |
$42.11 | 1,845 | 1,841 |
|
Sonia Wu
955 Main St |
$39.62 | 1,368 | 1,366 |
|
Kasey Ha
955 Main St Ste 101 |
$43.53 | 1,267 | 1,267 |
|
Andrew P Abela
955 Main St |
$42.84 | 749 | 711 |
|
Gary Warrington
955 Main St |
$39.04 | 339 | 339 |
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 Winchester, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Winchester, MA is $41.05 per claim, based on 30,044 claims from 11 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 Winchester, MA?
There are 11 Medicaid providers offering Dental Cleaning & Exam related services in Winchester, MA according to public payment data.
What is the price range for Dental Cleaning & Exam in Winchester, MA?
Medicaid reimbursement for Dental Cleaning & Exam in Winchester, MA ranges from $38.83 to $53.26 per claim, with an average of $41.05. 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
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San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
Other Procedures in Winchester, MA
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Avg $5.18
273,112 claims
Urinalysis & Urine Tests
Avg $2.61
56,711 claims
Pathology & Lab Services
Avg $33.49
49,265 claims
Emergency Room Visit
Avg $170.08
43,772 claims
Office Visit
Avg $100.19
41,242 claims
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Avg $4.66
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Avg $35.08
14,566 claims
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Avg $4.12
13,873 claims