D1110 Dental Code: Adult teeth cleaning (prophylaxis) Cost in 2026

What D1110 means on your bill

D1110 is the code for a standard adult cleaning, also called a prophylaxis: removing plaque and surface tartar from a patient whose gums show no sign of disease. It is billed with an exam (D0120) and often bitewing X-rays, assuming the hygienist works above the gumline on healthy tissue. Once tartar sits below the gumline, or the gums start pulling away from the teeth, the appointment is coded as scaling instead, D4346 or D4341/D4342 for a more advanced case, billed and covered on different terms. Choosing between a routine cleaning and a scaling code is clinical, not a preference, and it changes the fee, the coverage tier, and how often insurance pays again. Related guide: teeth cleaning and exam cost.

D1110 cost: cash fair price vs what Medicaid paid (2026)

D1110 prices well below the scaling codes it can turn into once gum disease is present, and the chart reflects that preventive tier: the cash fair price runs $75–$200, typical $130. Medicaid paid dentists a national average of $45 per claim line across 21,051,464 claim lines in 2023-2024, a gap of 2.9x against the cash figure. That paid amount is the program's weighted-average payment to the dentist, drawn from HHS T-MSIS, not a bill the patient sees. Only about 20% of active dentists billed Medicaid at all in 2023-2024, so getting a routine cleaning under Medicaid depends on finding a participating office as much as on this fee.

What Medicaid paid dentists for D1110, by state (2023-2024)

46 states publish a figure for D1110 below; the rest fail the data-quality gate or report too few claim lines. Payment ranges from $31 in New Jersey to $98 in Alaska for the same routine cleaning code. The cash column beside each state is that state's independent average outside insurance, shown for comparison, not derived from the Medicaid figure. A well-paid cleaning code in a given state does not mean that state's Medicaid program covers adult dental care broadly, or that it pays as well for the scaling codes a cleaning can become; see Medicaid adult dental by state for coverage rules. These figures track the cleaning alone. For an adult cleaning the official schedule rates spread more than the paid figures do: Ohio's $65 against New Jersey's $18 for the same D1110, and the Fee ÷ paid column is the plainest measure of how far below its own schedule a program actually pays per claim line.

Medicaid paid: per claim line, weighted average 2023-2024, derived from HHS T-MSIS Medicaid provider spending (Real Dental Costs, DOI 10.7910/DVN/7F2BZI); states with a data-quality flag or too few lines are omitted. Official Medicaid fee: the fee-for-service rate for this code on the state's published Medicaid dental fee schedule (captured for Alaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia, Delaware, Georgia, Hawaii, Iowa, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Montana, North Carolina, North Dakota, Nebraska, New Jersey, New Mexico, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Vermont, Washington, Wisconsin, West Virginia, Wyoming; effective dates, source URLs and file hashes in the API file); "—" where no schedule was captured or the code is not on it. Arizona publishes $54 on its schedule but has no publishable paid row here (data-quality flag or too few claim lines). Michigan publishes $62 on its schedule but has no publishable paid row here (its Medicaid claims cannot be geolocated). Oregon publishes $73 on its schedule but has no publishable paid row here (data-quality flag or too few claim lines). Virginia publishes $63 on its schedule but has no publishable paid row here (data-quality flag or too few claim lines). Fee and paid differ by design: paid mixes managed-care encounters, reduced and bundled lines and 2023-2024 rates, while the schedule is the current fee-for-service rate. Schedule notes: Alaska: fee_usd = Services for Adults amount; code priced only under Services for Children -> fee_usd = null and fee_alt_usd = children's rate (ages 0-20) (column fix 2026-09-18); Arizona: fee_usd = statewide FFS rate; fee_alt_usd = Flagstaff rate when different; source = AHCCCS Dental FFS schedule effective 2026-07-01; BR (By Report) = null; California: fee_usd = adult / general row; D1206-D1208 fee_alt_usd = children's rate, D4341-D4342 fee_alt_usd = SNF/ICF resident rate, D8080/D8670 = handicapping malocclusion row (column fix 2026-09-18 on 10 codes); Colorado: fee_usd = fee column; codes with Max Age below 21 -> fee_usd = null and fee_alt_usd = children's rate with the printed age band; manually priced = null (column fix 2026-09-18); Connecticut: fee_usd = Max Fee of the row in force; the Husky B Copay column is not a rate (column fix 2026-09-18); District of Columbia: fee_usd = Fee 21 Or Over of the row in force (BegDate/EndDate); fee_alt_usd = Fee Under 21 when different = children's rate (ages 0-20); 21+ fee $0.00 -> fee_usd = null (column fix 2026-09-18); Illinois: fee_usd = adult (21+) Maximum Allowance; when the adult column is N/A, fee_usd = null and fee_alt_usd = children's rate (ages 0-20); pregnant-women column ignored; source = HFS dental fee schedule xlsx effective 2026-07-01 (column fix 2026-09-18); Kentucky: fee_usd = OVER AGE 21 rate; when the adult column is n/c, fee_usd = null and fee_alt_usd = children's rate (ages 0-20); oral surgeon rate ignored (column fix 2026-09-18); Maine: fee_usd = Maximum Allowance 7/1/2026 when filled, else 1/1/2026; fee_prev_usd = 1/1/2026 amount when different (column fix 2026-09-18); Minnesota: fee_usd = printed TOTAL ALLOW x 1.98 (page 1: an additional 98% must be added to the fee schedule total amount for dental services on or after 01/01/22); fee_alt_usd = printed TOTAL ALLOW; APC/ASC facility column not used (column fix 2026-09-18); Montana: fee_usd = Office Fee; codes with Max Age below 21 -> fee_usd = null and fee_alt_usd = children's rate with the printed age band (column fix 2026-09-18); New Jersey: fee_usd = non-specialist adult column; fee_alt_usd = specialist adult column; when no adult rate, fee_usd = null and fee_alt_usd = children's non-specialist rate (column fix 2026-09-14); New York: fee_usd = Fee; codes with Max Age below 21 -> fee_usd = null and fee_alt_usd = children's rate with the printed age band (column fix 2026-09-18); Ohio: fee_usd = Current Maximum Payment (BR / NC / D / PA = null); fee_prev_usd = Previous Maximum Payment when different; no second fee column (column fix 2026-09-18); Oregon: fee_usd = Price of the latest dated row per code; 'Manual' = null (column fix 2026-09-18); Pennsylvania: fee_usd = MA Fee; codes limited '(under 21 years of age only)' -> fee_usd = null and fee_alt_usd = children's rate (ages 0-20) (column fix 2026-09-18); Rhode Island: fee_usd = MAX_ALW_AMT of the row in force; fee_prev_usd = previous period amount; no row in force or $0.01 placeholder = null (column fix 2026-09-18); Texas: Texas Health Steps children-only schedule (ages 0-20), not adult Medicaid coverage; 45 THSteps codes revised effective 2026-09-01 per HHSC Special Review (TMHP dental_services.xlsx), other codes 2025-09-01 ADA compilation; Utah: fee_usd = standard row (Enhancement = None); fee_alt_usd = Rural Enhancement rate; DENTAL_ADULT Excluded or covered ages below 21 -> fee_usd = null and fee_alt_usd = children's rate (column fix 2026-09-18); Wisconsin: fee_usd = general dentist rate (ForwardHealth PT 27, adult 21+, no BAF/modifier); fee_alt_usd = child rate when different (age band in label); source = ForwardHealth Max Fee extract 2026-09-05; effective_date = latest active rate begin date (per-code date in fee_effective; most rates unchanged since 2022-01-01); West Virginia: fee_usd = 2026 fee when the code is covered for adults 21+ per BMS Chapter 505 Appendix 505B (emergent services, effective 2026-01-01) or Appendix 505C (preventative and restorative services, effective 2025-05-01, $2,000 per two fiscal years); other codes -> fee_usd = null and fee_alt_usd = children's rate (ages 0-20); an N/A adult effective date in the fee schedule does not mean not covered (column fix 2026-09-18); Wyoming: XLSX master schedule substituted for the ADA-indexed PDF (which carries no dental codes); effective date = latest active rate begin date. Cash: Real Dental Costs procedure API, adult teeth cleaning (prophylaxis) proxy = Exam, cleaning & X-rays (basis estimated). Program payments, not patient bills; not a quote.

How insurance classes D1110

Plans almost always class D1110 as preventive, reimbursed at 100% with no deductible, up to a frequency limit that is typically twice a year. A pre-treatment estimate is rarely needed for a routine cleaning itself, but becomes relevant the moment the hygienist finds tartar below the gumline and the visit is recoded as scaling, which usually falls into a different coverage tier with its own frequency rule. The annual maximum, commonly $1,000-$2,000 for the year, is built around the assumption that preventive visits cost little against it. If a cleaning is billed as scaling instead, ask what the exam found. Coverage explained: dental insurance guide.

Chains, schools and where D1110 costs less

Aspen Dental does not publish a routine cleaning price on its site (the fee is quoted by each office), so the independent band of $75–$200 shown above is the reference. Dental school clinics, staffed by supervised students, typically charge 30-60% below private-practice fees for the same cleaning; see dental school cost. Every other procedure price on this site is listed at every procedure price. Cash averages for a routine cleaning range from $109 in Alabama to $167 in California.

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