Average Medicaid Dental Cleaning & Exam Payments in Athens, AL: $23.53
Avg. Paid
$23.53
Range
$20.42 – $41.84
Total Claims
77,741
Providers
12
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 Athens, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bradee Aiyer Sittason
310 W Elm St |
$23.25 | 23,745 | 22,177 |
|
Charlotte Pullins
310 W Elm St |
$21.49 | 15,484 | 12,990 |
|
Lindsey Blair Rodriguez
22051 Us Highway 72 Ste F |
$23.13 | 14,324 | 13,761 |
|
Michonne Danielle West
310 W Elm St |
$20.42 | 5,979 | 4,570 |
|
Jeremiah Lance Harris
1005 W Market St |
$24.13 | 4,842 | 4,745 |
|
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.
310 W Elm St |
$28.29 | 3,509 | 3,341 |
|
Caleb Jeffery Hodges
102 S Malone St Ste D |
$21.62 | 3,418 | 3,017 |
|
Rocio D. Guzman
1323 Us Highway 72 E |
$41.84 | 2,035 | 2,022 |
|
Lindsey Rodriguez Dmd, Llc
22051 Us Highway 72 Ste F |
$30.64 | 1,968 | 1,931 |
|
Brittany Paugh Parks
310 W Elm St |
$21.47 | 1,406 | 1,284 |
|
Richard E Sipes
310 W Elm St |
$24.49 | 1,007 | 941 |
|
East Limestone Family Dental, Pc
27453 Capshaw Rd |
$25.00 | 24 | 24 |
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 Athens, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Athens, AL is $23.53 per claim, based on 77,741 claims from 12 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 Athens, AL?
There are 12 Medicaid providers offering Dental Cleaning & Exam related services in Athens, AL according to public payment data.
What is the price range for Dental Cleaning & Exam in Athens, AL?
Medicaid reimbursement for Dental Cleaning & Exam in Athens, AL ranges from $20.42 to $41.84 per claim, with an average of $23.53. 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 $30.52
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Avg $11.18
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Avg $40.74
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Other Procedures in Athens, AL
Office Visit
Avg $36.58
152,131 claims
Emergency Room Visit
Avg $45.82
71,649 claims
Blood Work & Lab Tests
Avg $6.78
52,923 claims
Vaccines & Immunizations
Avg $10.61
36,186 claims
Ambulance Transport
Avg $36.56
34,087 claims
Physical Therapy
Avg $22.82
27,647 claims
Speech Therapy
Avg $52.73
20,896 claims
Urinalysis & Urine Tests
Avg $2.49
20,846 claims