Average Medicaid Dental Cleaning & Exam Payments in Worcester, MA: $35.51
Avg. Paid
$35.51
Range
$0.00 – $56.00
Total Claims
850,672
Providers
93
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 Worcester, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edward M. Kennedy Community Health Center, Inc
19 Tacoma St |
$19.66 | 113,392 | 82,566 |
|
Mareen E George
290 Park Ave |
$43.76 | 70,837 | 69,528 |
|
Family Health Center Of Worcester, Inc.
26 Queen St |
$25.94 | 68,326 | 51,950 |
|
Dental Dreams Llc
943 Grafton St |
$39.59 | 50,954 | 47,411 |
|
Kanchi Kapadia
10 Winthrop St Ste 317 |
$44.45 | 48,188 | 47,838 |
|
Chengeto Mukonoweshuro Vera
144 Pleasant St |
$42.36 | 47,842 | 47,020 |
|
Laila Rukh Uddin
225 Shrewsbury St |
$44.69 | 39,139 | 38,892 |
|
Kyong-Won Kong
200 Lincoln St |
$24.50 | 26,413 | 25,497 |
|
Kenny A Lam
17 Young St |
$36.51 | 20,686 | 17,993 |
|
Sami E Nassar
9 Halmstad St |
$37.37 | 18,558 | 17,384 |
|
Trustees Of Tufts University
150 Goddard Memorial Dr Ste 2 |
$44.86 | 16,988 | 15,208 |
|
Edward M. Kennedy Community Health Center, Inc
605 Lincoln St |
$22.75 | 15,582 | 12,674 |
|
Harjeet Mundra
16 Park Ave |
$38.85 | 13,062 | 12,664 |
|
Daniel B Moheban
200 Lincoln St |
$38.54 | 12,369 | 11,791 |
|
Tsz Ho Leung
490 Lincoln St |
$47.40 | 12,242 | 12,190 |
|
Michelle D Wilkerson
17 Young St |
$25.81 | 11,796 | 10,522 |
|
Ping Zhang
490 Lincoln St |
$39.57 | 11,558 | 11,370 |
|
Bhavana Agadi
Dental Smiles Center, 1241 Main St |
$42.24 | 11,207 | 11,084 |
|
Nima Ansari
700 Southbridge St Ste 2 |
$42.43 | 10,829 | 10,761 |
|
Jing Zhang
68 Stafford St Ste 1 |
$36.19 | 10,045 | 9,079 |
|
Ankita Bansal
17 Young St |
$37.94 | 9,033 | 8,590 |
|
Yung-Wan Lee
19 Tacoma St |
$31.08 | 8,950 | 7,188 |
|
Manbeen Riar
129 Lincoln St |
$37.52 | 8,866 | 8,280 |
|
Aleem M Zakaria
490 Lincoln St |
$40.06 | 8,524 | 8,479 |
|
Nguyen Minh Tau
17 Young St |
$43.02 | 8,439 | 8,237 |
|
Yoon Seon Yang
943 Grafton St |
$38.49 | 7,999 | 7,810 |
|
Joon Lee
11 Tobias Boland Way # 105 |
$40.44 | 7,948 | 7,781 |
|
Ambereen Fatima
26 Queen St |
$39.24 | 7,670 | 7,306 |
|
Margaret Vu Ennis
129 Lincoln St |
$39.39 | 7,632 | 7,372 |
|
Asma A Hameed
17 Young St |
$39.36 | 7,524 | 7,280 |
|
Payal K Patel
68 Stafford St |
$40.38 | 6,496 | 6,024 |
|
Lalitha Shankar
101 Pleasant St |
$37.64 | 6,286 | 6,116 |
|
Hameeda Hirani
11 Norwich St |
$42.83 | 6,087 | 6,050 |
|
Robert M. Mccarthy
548 Pleasant St |
$43.60 | 6,054 | 6,001 |
|
Ankur Oswal
456 Park Ave |
$37.57 | 6,045 | 5,776 |
|
Meenakshy Yegneswaran
101 Pleasant St |
$19.15 | 5,944 | 5,483 |
|
Xue Yu Shen
9 Linden Street |
$43.90 | 5,570 | 5,442 |
|
Umass Memorial Medical Center, Inc.
55 Lake Avenue |
$28.12 | 5,480 | 5,142 |
|
Ihab Dabbagh
9 Millbrook St |
$39.63 | 5,349 | 5,316 |
|
David Huynh
17 Young St |
$34.59 | 4,960 | 4,381 |
|
Jennifer Harvey
26 Queen St |
$40.40 | 4,848 | 4,735 |
|
Sunita Jandyam
431 Park Ave # B |
$37.99 | 4,776 | 4,594 |
|
Trushar Patel
68 Stafford St Ste 1 |
$34.93 | 4,646 | 4,117 |
|
Worcester Dental Smiles
580 Lincoln St |
$39.02 | 4,422 | 4,253 |
|
Anna Ross
102 Shore Dr |
$33.70 | 4,086 | 4,028 |
|
Bashar Zyoud
347 Greenwood Street |
$42.18 | 4,028 | 3,817 |
|
Patrick W Mcgary
102 Shore Dr |
$33.76 | 3,981 | 3,911 |
|
Ramya Kannan Suresh
129 Lincoln St |
$35.78 | 3,751 | 3,636 |
|
Puneet Arora
68 Stafford St |
$40.22 | 2,956 | 2,849 |
|
F Edward Gallagher
200 Lincoln Street |
$33.84 | 2,600 | 2,570 |
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 Worcester, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Worcester, MA is $35.51 per claim, based on 850,672 claims from 93 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 Worcester, MA?
There are 93 Medicaid providers offering Dental Cleaning & Exam related services in Worcester, MA according to public payment data.
What is the price range for Dental Cleaning & Exam in Worcester, MA?
Medicaid reimbursement for Dental Cleaning & Exam in Worcester, MA ranges from $0.00 to $56.00 per claim, with an average of $35.51. 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 Worcester, MA
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Avg $21.52
6,777,067 claims
Office Visit
Avg $63.47
2,032,687 claims
Psychiatric Evaluation
Avg $73.77
1,006,360 claims
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Avg $31.12
1,000,136 claims
Home Health Visit
Avg $34.51
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Avg $12.59
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Avg $166.04
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Avg $101.48
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