Average Medicaid Dental Cleaning & Exam Payments in Annandale, VA: $28.16
Avg. Paid
$28.16
Range
$0.00 – $55.96
Total Claims
47,412
Providers
22
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 Annandale, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sang Wook Lee
7535 Little River Tpke Ste 310C |
$25.74 | 10,797 | 10,708 |
|
Quynh-Anh D Grimm
7540 Little River Tpke Ste A |
$24.87 | 8,249 | 8,062 |
|
Ji Woung Choi
4322 Ravensworth Rd # Va |
$27.64 | 5,661 | 5,352 |
|
Thien V Le
5105C Backlick Rd |
$25.50 | 4,692 | 4,542 |
|
Sunny Behal
7501 Little River Tpke Ste 201 |
$38.84 | 4,503 | 4,113 |
|
Tae Yong Lee
7002 Little River Tpke Ste C |
$25.51 | 2,816 | 2,586 |
|
Claudia M Claros
4231 Markham St |
$22.51 | 2,276 | 2,199 |
|
Oluwole Olubunmi Fadahunsi
7611 Little River Tpke Ste 101E |
$45.70 | 1,755 | 1,725 |
|
Shikha Nanda Behal
7501 Little River Tpke Ste 201 |
$40.68 | 1,718 | 1,699 |
|
Jae Kwon Bok
7535 Little River Tpke |
$28.06 | 1,594 | 1,594 |
|
Yousuf Al-Aboosi
7617 Little River Tpke Ste 910 |
$21.16 | 895 | 887 |
|
Manisha Shrestha
4322 Ravensworth Rd |
$25.78 | 770 | 770 |
|
Marjan Salari
6960G Bradlick Shopping Ctr # G |
$15.12 | 477 | 474 |
|
Robert Lobo
4322 Ravensworth Rd |
$24.82 | 439 | 408 |
|
Leonel Perez
7617 Little River Tpke Ste 900 |
$55.96 | 247 | 245 |
|
Patricia Maria Gomez
4322 Ravensworth Rd. |
$29.67 | 233 | 220 |
|
Yen Van Le
4330 Evergreen Lane |
$20.83 | 115 | 115 |
|
Danny Vo
4305 Americana Dr |
$25.28 | 73 | 73 |
|
Jonathan B Vo
7519 Little River Tpke Apt T-1 |
$0.00 | 50 | 49 |
|
Irelsy Alexandra Rivera Velazquez
7611 Little River Tpke Ste 101E |
$30.81 | 22 | 15 |
|
J Daniel Labriola
7611 Little River Turnpike |
$24.83 | 15 | 15 |
|
Linh Quoc Nguyen
5017B Backlick Rd |
$28.00 | 15 | 15 |
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 Annandale, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Annandale, VA is $28.16 per claim, based on 47,412 claims from 22 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 Annandale, VA?
There are 22 Medicaid providers offering Dental Cleaning & Exam related services in Annandale, VA according to public payment data.
What is the price range for Dental Cleaning & Exam in Annandale, VA?
Medicaid reimbursement for Dental Cleaning & Exam in Annandale, VA ranges from $0.00 to $55.96 per claim, with an average of $28.16. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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Avg $29.76
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Chicago, IL
Avg $29.66
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Los Angeles, CA
Avg $49.60
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Avg $40.74
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