Average Medicaid Dental Cleaning & Exam Payments in Barbourville, KY: $32.25
Avg. Paid
$32.25
Range
$27.58 – $35.90
Total Claims
55,523
Providers
9
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 Barbourville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Adrian Dunaway
240 Cumberland Ave |
$33.88 | 8,780 | 8,549 |
|
Bobby Steven Smith
16 Windburn Dr |
$31.21 | 8,602 | 8,374 |
|
Robin Elaine Bonnell
16 Windburn Dr |
$35.90 | 7,384 | 7,154 |
|
Henry Spencer Hays
646 Manchester St |
$31.19 | 7,268 | 6,918 |
|
A J Smith
201 N Allison Ave |
$32.11 | 7,095 | 6,863 |
|
Gina A Messer
96 Ky 3439 |
$33.79 | 7,013 | 6,584 |
|
Edwin Earl Smith
16 Windburn Dr |
$28.82 | 4,403 | 4,166 |
|
Brent C. Mcdonald
608 Knox St |
$28.78 | 3,270 | 2,922 |
|
Brook Mills
646 Manchester St |
$27.58 | 1,708 | 1,618 |
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 Barbourville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Barbourville, KY is $32.25 per claim, based on 55,523 claims from 9 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 Barbourville, KY?
There are 9 Medicaid providers offering Dental Cleaning & Exam related services in Barbourville, KY according to public payment data.
What is the price range for Dental Cleaning & Exam in Barbourville, KY?
Medicaid reimbursement for Dental Cleaning & Exam in Barbourville, KY ranges from $27.58 to $35.90 per claim, with an average of $32.25. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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