Average Medicaid Dental Cleaning & Exam Payments in Adjuntas, PR: $18.83
Avg. Paid
$18.83
Range
$17.47 – $21.86
Total Claims
29,706
Providers
3
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 Adjuntas, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Manuel A Torres-Perez
17 Calle Barbosa |
$18.11 | 17,431 | 16,278 |
|
Ambar C Mirabal
63 Calle Munoz Rivera |
$21.86 | 6,678 | 5,829 |
|
Efrain Espinet Perez
22 Calle Munoz Rivera |
$17.47 | 5,597 | 5,202 |
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 Adjuntas, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Adjuntas, PR is $18.83 per claim, based on 29,706 claims from 3 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 Adjuntas, PR?
There are 3 Medicaid providers offering Dental Cleaning & Exam related services in Adjuntas, PR according to public payment data.
What is the price range for Dental Cleaning & Exam in Adjuntas, PR?
Medicaid reimbursement for Dental Cleaning & Exam in Adjuntas, PR ranges from $17.47 to $21.86 per claim, with an average of $18.83. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Adjuntas, PR
Blood Work & Lab Tests
Avg $9.56
134,122 claims
Office Visit
Avg $8.84
42,803 claims
Urinalysis & Urine Tests
Avg $3.56
30,675 claims
X-Ray
Avg $22.19
9,044 claims
Ultrasound
Avg $81.24
7,053 claims
Hearing Test (Audiometry)
Avg $33.23
6,322 claims
Tooth Extraction
Avg $42.04
4,789 claims
Dental Filling
Avg $35.78
4,627 claims