Dental prophylaxis adult (CPT D1110)
D1110 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
155 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
Compare interactively: search all codes, set your location →
| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | $12.32 | $176 | $175.60 | 0.1× |
| Concord Hospital | Concord, NH | $18.60 | $62 | $142.16 | 0.1× |
| Concord Hospital – Laconia | Laconia, NH | $18.60 | $62 | $142.16 | 0.1× |
| Concord Hospital – Franklin | Franklin, NH | $18.60 | $62 | $142.16 | 0.1× |
| Aurelia Osborn Fox Memorial Hospital | Oneonta, NY | $24.66 | $91.35 | $166.19 | 0.1× |
| Boston Medical Center | Boston, MA | $29.25 | $65 | $159.56 | 0.2× |
| Adventist Health Sonora | Sonora, CA | $29.92 | $176 | $171.24 | 0.2× |
| Touro | New Orleans, LA | $29.96 | $214 | $124.97 | 0.2× |
| Adventist Health Reedley | Reedley, CA | $33.44 | $176 | $171.24 | 0.2× |
| Adventist Health Ukiah Valley | Ukiah, CA | $35.20 | $176 | $171.24 | 0.2× |
| West Jefferson Medical Center | Marrero, LA | $36.16 | $226 | $124.97 | 0.3× |
| MetroHealth System range across 2 matching MRF lines |
Cleveland, OH | $36.75–$458.85 | $105–$1,311 | $125.96 | varies |
| North Sunflower Medical Center range across 2 matching MRF lines |
Ruleville, MS | $37.50–$50 | $75–$100 | $114.78 | varies |
| OHSU Hospital and Clinics | Portland, OR | $39 | $60 | $149.50 | 0.3× |
| Uci Health-orange | Orange, CA | $44 | $110 | $171.24 | 0.3× |
| Adventist Health Tehachapi Valley | Tehachapi, CA | $47.52 | $176 | $171.24 | 0.3× |
| University Medical Center New Orleans | New Orleans, LA | $52.58 | $239 | $120.55 | 0.4× |
| Adventist Health Howard Memorial | Willits, CA | $52.80 | $176 | $171.24 | 0.3× |
| Manning Family Children's | New Orleans, LA | $53.73 | $199 | $124.97 | 0.4× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $120.20 | 0.5× |
| Ventura County Medical Center | Ventura, CA | $60 | $120 | $171.24 | 0.4× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $66 | $110 | $133.74 | 0.5× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $66 | $110 | $133.74 | 0.5× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $66 | $110 | $133.74 | 0.5× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $66 | $110 | $133.74 | 0.5× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $66 | $110 | $133.96 | 0.5× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $66 | $110 | $133.74 | 0.5× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $66 | $110 | $133.74 | 0.5× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $66 | $110 | $133.74 | 0.5× |
| Baylor Regional Medical Center at Plano | Plano, TX | $66 | $110 | $133.74 | 0.5× |
| The Heart Hospital Baylor Denton | Denton, TX | $66 | $110 | $133.74 | 0.5× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $66 | $110 | $133.74 | 0.5× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $66 | $110 | $133.74 | 0.5× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $66 | $110 | $133.74 | 0.5× |
| Plumas District Hospital range across 2 matching MRF lines |
Quincy, CA | $66.40–$96 | $83–$120 | $171.24 | varies |
| Mammoth Hospital | Mammoth Lakes, CA | $66.50 | $95 | $171.24 | 0.4× |
| Newark-Wayne Community Hospital | Newark, NY | $66.95 | $103 | $166.19 | 0.4× |
| Rochester General Hospital | Rochester, NY | $66.95 | $103 | $166.19 | 0.4× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $66.95 | $103 | $166.19 | 0.4× |
| Adventist Health Clearlake | Clearlake, CA | $67.32 | $187 | $171.24 | 0.4× |
| Wyckoff Heights Medical Center | Brooklyn, NY | $67.50 | $67.50 | $166.19 | 0.4× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $70.45 | $138.14 | $129.74 | 0.5× |
| St. Joseph's Hospital Health Center | Syracuse, NY | $71.50 | $110 | $166.19 | 0.4× |
| Nebraska Medical Center | Omaha, NE | $72.80 | $112 | $138.25 | 0.5× |
| Bellevue Medical Center | Bellevue, NE | $72.80 | $112 | $138.25 | 0.5× |
| Mountains Community Hospital | Lake Arrowhead, CA | $80 | $200 | $171.24 | 0.5× |
| Unity Hospital of Rochester | Rochester, NY | $82.40 | $103 | $166.19 | 0.5× |
| Unity Specialty Hospital | Rochester, NY | $82.40 | $103 | $166.19 | 0.5× |
| Bear Valley Community Hospital | Big Bear Lake, CA | $89.95 | $128.50 | $171.24 | 0.5× |
| Wynn Hospital | Utica, NY | $93 | $155 | $166.19 | 0.6× |
| Arkansas Children's Hospital | Little Rock, AR | $93.18 | $103.53 | $125.09 | 0.7× |
| Mercy Hospital St. Louis | St. Louis, MO | $94.90 | $146 | $133.35 | 0.7× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $96.88 | $173 | $193.31 | 0.5× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $96.88 | $173 | $192.45 | 0.5× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $96.88 | $173 | $189.04 | 0.5× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $96.88 | $173 | $195.60 | 0.5× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $96.88 | $173 | $194.76 | 0.5× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $96.88 | $173 | $192.45 | 0.5× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $96.88 | $173 | $189.04 | 0.5× |
| Kaiser Foundation Hospital | San Rafael, CA | $96.88 | $173 | $188.84 | 0.5× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $96.88 | $173 | $192.45 | 0.5× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $96.88 | $173 | $193.31 | 0.5× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $96.88 | $173 | $195.83 | 0.5× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $96.88 | $173 | $189.04 | 0.5× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $96.88 | $173 | $183.08 | 0.5× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $96.88 | $173 | $171.24 | 0.6× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $96.88 | $173 | $186.56 | 0.5× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $96.88 | $173 | $188 | 0.5× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $96.88 | $173 | $195.60 | 0.5× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $96.88 | $173 | $172.79 | 0.6× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $96.88 | $173 | $192.47 | 0.5× |
| Contra Costa Regional Medical Center | Martinez, CA | $99 | $99 | $188 | 0.5× |
| Mary Imogene Bassett Hospital | Cooperstown, NY | $105.24 | $389.77 | $166.19 | 0.6× |
| Mcbride Orthopedic Hospital | Oklahoma City, OK | $111 | $111 | $128.05 | 0.9× |
| Adventist Health Mendocino Coast | Fort Bragg, CA | $116.16 | $176 | $171.24 | 0.7× |
| Charleston Area Medical Center | Charleston, WV | $119 | $119 | $127.71 | 0.9× |
| Strong Memorial Hospital range across 2 matching MRF lines |
Rochester, NY | $123.25–$158.03 | — | $166.19 | varies |
| Lakeside Medical Center | Belle Glade, FL | $129.36 | — | $139.03 | 0.9× |
| Westchester Medical Center | Valhalla, NY | $141 | $141 | $166.19 | 0.8× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $141.50 | — | $120.91 | 1.2× |
| Brooklyn Hospital Center - Downtown Campus | Brooklyn, NY | $143.05 | $143.05 | $166.19 | 0.9× |
| Drumright Regional Hospital | Drumright, OK | $146.40 | $244 | $128.05 | 1.1× |
| Emory University Hospital | Atlanta, GA | $150 | $150 | $133.54 | 1.1× |
| Emory Decatur Hospital | Decatur, GA | $150 | $150 | $133.54 | 1.1× |
| Emory University Hospital Midtown | Atlanta, GA | $150 | $150 | $135.23 | 1.1× |
| Emory Saint Joseph's Hospital | Atlanta, GA | $150 | $150 | $135.23 | 1.1× |
| Emory Hillandale Hospital | Lithonia, GA | $150 | $150 | $133.54 | 1.1× |
| Emory Johns Creek Hospital | Johns Creek, GA | $150 | $150 | $135.23 | 1.1× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $152.50 | $176.85 | $166.19 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $152.50 | $176.85 | $166.19 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $152.50 | $176.85 | $166.19 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $152.50 | $176.85 | $166.19 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $152.50 | $176.85 | $166.19 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $152.50 | $176.85 | $166.19 | 0.9× |
| Bellevue Hospital Center | New York, NY | $152.50 | $176.85 | $166.19 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $152.50 | $176.85 | $166.19 | 0.9× |
| Harlem Hospital Center | New York, NY | $152.50 | $176.85 | $166.19 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $152.50 | $176.85 | $166.19 | 0.9× |
| Griffin Hospital | Derby, CT | $154.06 | — | $159.61 | 1.0× |
| Highland Hospital | Rochester, NY | $158.03 | — | $166.19 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $163.38 | — | $142.07 | 1.1× |
| Kaleida Health | Buffalo, NY | $165 | $165 | $166.19 | 1.0× |
| Endeavor Health Clinical Operations | Evanston, IL | $166 | $166 | $142.67 | 1.2× |
| Swedish Hospital | Chicago, IL | $166 | $166 | $142.67 | 1.2× |
| Nyack Hospital | Nyack, NY | $166.19 | — | $166.19 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $166.19 | — | $166.19 | 1.0× |
| Benefis Hospitals Inc | Great Falls, MT | $166.20 | $277 | $136.02 | 1.2× |
| Bayside Community Hospital | Anahuac, TX | $172 | $172 | $133.74 | 1.3× |
| Roswell Park Comprehensive Cancer Center | Buffalo, NY | $175.71 | $175.71 | $166.19 | 1.1× |
| Hilton Head Medical Center | Hilton Head Island, SC | $179.60 | — | $123.83 | 1.5× |
| East Cooper Medical Center | Mount Pleasant, SC | $179.60 | — | $123.83 | 1.5× |
| Coastal Carolina Medical Center | Hardeeville, SC | $179.60 | — | $123.83 | 1.5× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $183.07 | — | $132.66 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $183.07 | — | $132.66 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $183.07 | — | $132.66 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $183.07 | — | $132.66 | 1.4× |
| Monroe Regional Hospital | Aberdeen, MS | $199 | $199 | $114.78 | 1.7× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $202.34 | — | $136.02 | 1.5× |
| Lackey Memorial Hospital | Forest, MS | $208 | $208 | $120.20 | 1.7× |
| Sioux Falls Specialty Hospital LLP | Sioux Falls, SD | $208.06 | $277.41 | $136.02 | 1.5× |
| UMass Memorial Medical Center | Worcester, MA | $218 | $218 | $159.56 | 1.4× |
| Mount Sinai Hospital | New York, NY | $225 | $250 | $166.19 | 1.4× |
| Mount Sinai West | New York, NY | $225 | $250 | $166.19 | 1.4× |
| Mount Sinai Brooklyn | Brooklyn, NY | $225 | $250 | $166.19 | 1.4× |
| Norwalk Hospital | Norwalk, CT | $232 | $232 | $159.61 | 1.5× |
| John H Stroger Jr Hospital | Chicago, IL | $238.70 | $341 | $142.67 | 1.7× |
| Provident Hospital of Chicago | Chicago, IL | $238.70 | $341 | $142.67 | 1.7× |
| Fred Hutch Cancer Center | Seattle, WA | $252.90 | $281 | $154.60 | 1.6× |
| Duncan Regional Hospital, Inc | Duncan, OK | $262.74 | — | $128.05 | 2.1× |
| ThedaCare Regional Medical Center - Neenah Inc range across 2 matching MRF lines |
Neenah, WI | $267.68–$275.69 | $478–$492.30 | $129.32 | varies |
| ThedaCare Regional Medical Center - Appleton Inc range across 2 matching MRF lines |
Appleton, WI | $267.68–$275.69 | $478–$492.30 | $130.43 | varies |
| ThedaCare Medical Center - Wild Rose Inc range across 2 matching MRF lines |
Wild Rose, WI | $267.68–$275.69 | $478–$492.30 | $129.32 | varies |
| ThedaCare Medical Center New London range across 2 matching MRF lines |
New London, WI | $267.68–$275.69 | $478–$492.30 | $130.01 | varies |
| ThedaCare Medical Center - Waupaca Inc range across 2 matching MRF lines |
Waupaca, WI | $267.68–$275.69 | $478–$492.30 | $129.32 | varies |
| ThedaCare Medical Center - Shawano Inc range across 2 matching MRF lines |
Shawano, WI | $267.68–$275.69 | $478–$492.30 | $129.32 | varies |
| ThedaCare Medical Center - Berlin Inc range across 2 matching MRF lines |
Berlin, WI | $267.68–$275.69 | $478–$492.30 | $129.32 | varies |
| University Medical Center | Las Vegas, NV | $276.60 | $922 | $145.53 | 1.9× |
| Maimonides Medical Center | Brooklyn, NY | $300 | $300 | $166.19 | 1.8× |
| Children's Minnesota - Minneapolis Hospital | Minneapolis, MN | $369 | $369 | $139.44 | 2.6× |
| Northwest Surgical Hospital | Oklahoma City, OK | $384.15 | — | $128.05 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $384.15 | — | $128.05 | 3.0× |
| Sacred Heart Medical Center Riverbend | Springfield, OR | $826.48 | $1,271.50 | $148.54 | 5.6× |
| UNM Hospital | Albuquerque, NM | $886.12 | $1,611.13 | $131.80 | 6.7× |
| Stony Brook University Hospital range across 2 matching MRF lines |
Stony Brook, NY | $12,673.50–$14,066.50 | $12,673.50–$14,066.50 | $166.19 | varies |
| West Carroll Memorial Hospital | Oak Grove, LA | — | $67 | $120.55 | — |
| Upstate University Hospital | Syracuse, NY | — | $133 | $166.19 | — |
| St. Francis Hospital, Roslyn | Roslyn, NY | — | $148 | $166.19 | — |
| St. Charles Hospital | Port Jefferson, NY | — | $148 | $166.19 | — |
| Mercy Medical Center | Rockville Centre, NY | — | $148 | $166.19 | — |
| Good Samaritan Hospital Medical Center | West Islip, NY | — | $148 | $166.19 | — |
| St. Joseph Hospital | Bethpage, NY | — | $148 | $166.19 | — |
| St. Catherine of Siena Hospital | Smithtown, NY | — | $148 | $166.19 | — |
| Erie County Medical Center | Buffalo, NY | — | $157 | $166.19 | — |
| Jackson Memorial Hospital | Miami, FL | — | $474 | $139.03 | — |
| Anaheim Community Hospital, LLC | Anaheim, CA | — | $727.20 | $171.24 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.