Average Medicaid Dental Cleaning & Exam Payments in Wyomissing, PA: $30.08
Avg. Paid
$30.08
Range
$0.00 – $37.25
Total Claims
19,194
Providers
16
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 Wyomissing, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Preciosa Perez
344 N Wyomissing Blvd |
$32.03 | 8,312 | 8,309 |
|
Muzamil Gufran
2201 Ridgewood Rd Ste 310 |
$30.22 | 4,095 | 4,088 |
|
Rupal Tailor
2228 State Hill Rd |
$30.24 | 1,986 | 1,984 |
|
Young Hawke Lee
1901 Ridgewood Road |
$24.57 | 1,510 | 1,463 |
|
Dennis Michael Petricoin
224 Oak Hill Ln |
$27.48 | 1,456 | 1,448 |
|
David Pelagio
1301 Penn Ave |
$25.62 | 772 | 758 |
|
Ryan Mikhail David Calvi
1075 Berkshire Blvd |
$37.25 | 495 | 476 |
|
Jeffrey N. Grove
2228 State Hill Rd |
$0.55 | 163 | 154 |
|
Amdent Ltd
1301 Penn Ave |
$26.76 | 161 | 161 |
|
Wyomissing Dental Associates, P.C.
2228 State Hill Rd |
$31.43 | 75 | 75 |
|
Amdent Ltd
1301 Penn Ave |
$31.56 | 52 | 52 |
|
Minou Luo
1075 Berkshire Blvd |
$36.78 | 50 | 49 |
|
Pediatric Dental Care
344 N Wyomissing Blvd |
$32.63 | 30 | 30 |
|
Stephen Alan Hassler
1100 Penn Ave |
$27.69 | 13 | 13 |
|
Ali Sharifbeigi
2733 Papermill Rd |
$0.00 | 12 | 12 |
|
Amdent Ltd.
1425 Penn Ave |
$27.64 | 12 | 12 |
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 Wyomissing, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Wyomissing, PA is $30.08 per claim, based on 19,194 claims from 16 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 Wyomissing, PA?
There are 16 Medicaid providers offering Dental Cleaning & Exam related services in Wyomissing, PA according to public payment data.
What is the price range for Dental Cleaning & Exam in Wyomissing, PA?
Medicaid reimbursement for Dental Cleaning & Exam in Wyomissing, PA ranges from $0.00 to $37.25 per claim, with an average of $30.08. 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
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Bronx, NY
Avg $31.12
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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
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Avg $53.27
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