Dental CDT D1110 Outpatient

Teeth cleaning, adult cost in Buffalo, NY

In Buffalo-Cheektowaga, NY, 1 hospital lists a cash price for routine teeth cleaning (prophylaxis), adult or teen: from $175.71 to $175.71, with a median of $175.71. Across New York, the median is $152.50 at 22 hospitals.

Cash prices at 1 facility for code D1110, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$175.71Roswell Park Cancer Institute
Median$175.71half pay less
Highest$175.71in this market
Difference1.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Buffalo-Cheektowaga, NY.

median
Lowest $175.71Highest $175.71

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Roswell Park Cancer Institute lowest Buffalo, NY Adult Prophy Half Mouth $175.71 $175.71 — — Apr 1, 2026
source file
Roswell Park Cancer Institute lowest Buffalo, NY Adult Prophy $175.71 $175.71 — — Apr 1, 2026
source file

Outpatient: lowest $175.71, median $175.71, highest $175.71.

As an inpatient, the same code is billed by 1 facility here, median $175.71. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

What it is

This is a routine preventive teeth cleaning that removes plaque, tartar and stains from the teeth, usually done once or twice a year. It is for people with healthy gums or mild gum inflammation.

What the price covers

The fee covers the cleaning and polishing. The dental exam, X-rays and fluoride treatment are billed under their own codes.