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 |
|---|---|---|---|
|
Anas Al Najjar
101 Pleasant St |
$0.00 | 24 | 24 |
|
Martha M Sullivan
26 Queen St |
$44.92 | 24 | 24 |
|
Daniel John Ouellette
62 South Ludlow Street |
$0.00 | 25 | 25 |
|
Hayrapet Sahakyants
64 Highland St |
$41.04 | 51 | 48 |
|
Sujatha L Revur
26 Queen St |
$38.68 | 53 | 53 |
|
Houssam Alkhoury
101 Pleasant St |
$56.00 | 66 | 62 |
|
Mercedez G Agyemfra
20 Balder Rd |
$50.72 | 75 | 75 |
|
Yazan Abou Zakhem
1438 Grafton St |
$44.57 | 122 | 117 |
|
Ammar Bash
255 Park Ave Ste 405 |
$41.32 | 130 | 114 |
|
Susan C Fiorillo
10 Winthrop St |
$37.36 | 148 | 142 |
|
Anabel Moreno
51 Hamilton St |
$50.76 | 180 | 180 |
|
W David Kelly
59 Quinsigamond Ave |
$39.83 | 208 | 204 |
|
Cale Forgues
10 Winthrop St |
$54.58 | 232 | 218 |
|
Mohamed Hazem Farid Elnazer
1438 Grafton St |
$37.72 | 398 | 393 |
|
Faeze Fadiani Niaraki
365 Burncoat St |
$43.56 | 401 | 397 |
|
Francesco A Voci Jr Pc
129 Lincoln St |
$33.40 | 407 | 395 |
|
Shailza Dhawan Sharma
68 Stafford St |
$36.43 | 439 | 421 |
|
Ashna Khera
44 Front St |
$40.74 | 499 | 489 |
|
Quinsigamond Community College
670 W Boylston St |
$40.11 | 501 | 500 |
|
Melissa M Smith
330 Plantation St |
$37.85 | 551 | 532 |
|
Natalie Marie Stanley
15 Salem St |
$34.17 | 559 | 542 |
|
Chung Lee
111 Elm St Ste 101 |
$39.08 | 574 | 558 |
|
Alexandra Penta
102 Shore Dr Ste 302 |
$42.49 | 709 | 683 |
|
Joseph Michael Horan
101 Pleasant St |
$35.86 | 793 | 776 |
|
Vanessa Choy
68 Stafford St |
$28.27 | 808 | 808 |
|
Donald D Fiorillo
10 Winthrop St |
$45.26 | 907 | 860 |
|
Richard Sharp
86 Pleasant St |
$38.76 | 1,027 | 1,003 |
|
Jin Lee
111 Elm St Ste 101 |
$38.12 | 1,146 | 1,118 |
|
Nidhi Handa
490 Lincoln St |
$29.86 | 1,164 | 977 |
|
Ryan Matthew Vaughn
101 Pleasant St Ste 2010 |
$42.43 | 1,267 | 1,244 |
|
Sherif Ahmed Mohamed Nour Attia
490 Lincoln St |
$42.84 | 1,341 | 1,318 |
|
Galina Merjik
610 W Boylston St |
$49.31 | 1,440 | 1,398 |
|
Carlo Franklin Latino
3 Triangle Street |
$35.81 | 1,526 | 1,501 |
|
Moaz Zanbarakji
347 Greenwood St |
$42.36 | 1,810 | 1,783 |
|
Nguyen Thao Thi Nguyen
26 Queen Street |
$30.07 | 1,829 | 1,829 |
|
Mindy Vu Nguyen
388 Park Ave |
$39.64 | 1,934 | 1,824 |
|
Raheelf Farooqui
943 Grafton St |
$39.79 | 2,057 | 2,006 |
|
Worcester Dentist Group Pc
255 Park Ave Ste 804 |
$40.58 | 2,232 | 2,076 |
|
Je Hong Lee
68 Stafford St Ste 1 |
$29.79 | 2,254 | 2,229 |
|
Daniella Rizzo
129 Lincoln St |
$39.34 | 2,334 | 2,298 |
|
Dongmei Yang
17 Young St |
$35.51 | 2,434 | 2,325 |
|
Thomas F Unger
86 Pleasant St |
$41.07 | 2,439 | 2,300 |
|
Zhan Huang
68 Stafford St |
$30.36 | 2,591 | 2,075 |
|
F Edward Gallagher
200 Lincoln Street |
$33.84 | 2,600 | 2,570 |
|
Puneet Arora
68 Stafford St |
$40.22 | 2,956 | 2,849 |
|
Ramya Kannan Suresh
129 Lincoln St |
$35.78 | 3,751 | 3,636 |
|
Patrick W Mcgary
102 Shore Dr |
$33.76 | 3,981 | 3,911 |
|
Bashar Zyoud
347 Greenwood Street |
$42.18 | 4,028 | 3,817 |
|
Anna Ross
102 Shore Dr |
$33.70 | 4,086 | 4,028 |
|
Worcester Dental Smiles
580 Lincoln St |
$39.02 | 4,422 | 4,253 |
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
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