Average Medicaid Dental Cleaning & Exam Payments in Balch Springs, TX: $36.97
Avg. Paid
$36.97
Range
$25.76 – $48.06
Total Claims
47,179
Providers
8
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 Balch Springs, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cine Marina Paul
11203 Lake June Rd Ste 120 |
$30.23 | 16,985 | 16,181 |
|
Steve Huynh
12227 Lake June Rd |
$43.58 | 11,558 | 11,263 |
|
Darshankumar Patel
11203 Lake June Rd Suite 120 |
$42.94 | 4,830 | 4,709 |
|
Maria Linh Nguyen
12227 Lake June Rd |
$38.52 | 4,790 | 4,714 |
|
Reena Abraham
12250 Lake June Rd |
$28.77 | 3,351 | 3,299 |
|
Martin Curiel
11203 Lake June Rd |
$48.06 | 2,855 | 2,798 |
|
Swapna Jos
3501 Shepherd Ln |
$36.21 | 2,782 | 2,691 |
|
Trinh Thu Pham
3501 Shepherd Ln |
$25.76 | 28 | 25 |
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 Balch Springs, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Balch Springs, TX is $36.97 per claim, based on 47,179 claims from 8 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 Balch Springs, TX?
There are 8 Medicaid providers offering Dental Cleaning & Exam related services in Balch Springs, TX according to public payment data.
What is the price range for Dental Cleaning & Exam in Balch Springs, TX?
Medicaid reimbursement for Dental Cleaning & Exam in Balch Springs, TX ranges from $25.76 to $48.06 per claim, with an average of $36.97. 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
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Other Procedures in Balch Springs, TX
Office Visit
Avg $37.86
24,449 claims
Dental Filling
Avg $86.89
18,411 claims
Vaccines & Immunizations
Avg $7.22
10,352 claims
Tooth Extraction
Avg $69.22
5,049 claims
Physical Therapy
Avg $0.35
2,722 claims
Behavioral & Mental Health Therapy
Avg $49.62
2,297 claims
Urinalysis & Urine Tests
Avg $2.96
906 claims
Blood Work & Lab Tests
Avg $2.53
629 claims