Average Medicaid Dental Cleaning & Exam Payments in Bay City, TX: $36.23
Avg. Paid
$36.23
Range
$0.12 – $40.16
Total Claims
19,985
Providers
4
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 Bay City, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sami K Thalji
1801 Merlin St |
$40.16 | 9,677 | 9,609 |
|
Victa Jeron Edwards
1801 Merlin St |
$38.10 | 8,797 | 8,732 |
|
Sheng Yaw Tom Guu
101 Avenue F N |
$0.12 | 1,426 | 1,266 |
|
John David Ferguson
101 Avenue F N |
$1.68 | 85 | 75 |
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 Bay City, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Bay City, TX is $36.23 per claim, based on 19,985 claims from 4 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 Bay City, TX?
There are 4 Medicaid providers offering Dental Cleaning & Exam related services in Bay City, TX according to public payment data.
What is the price range for Dental Cleaning & Exam in Bay City, TX?
Medicaid reimbursement for Dental Cleaning & Exam in Bay City, TX ranges from $0.12 to $40.16 per claim, with an average of $36.23. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
Brooklyn, NY
Avg $29.76
5,899,905 claims · 889 providers
Chicago, IL
Avg $29.66
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Los Angeles, CA
Avg $49.60
3,990,780 claims · 877 providers
Houston, TX
Avg $39.95
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
3,240,448 claims · 723 providers
Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
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Other Procedures in Bay City, TX
Office Visit
Avg $49.38
47,767 claims
Blood Work & Lab Tests
Avg $4.30
36,843 claims
Urinalysis & Urine Tests
Avg $3.19
20,163 claims
Emergency Room Visit
Avg $155.97
15,467 claims
Dental Filling
Avg $86.86
6,771 claims
Physical Therapy
Avg $73.37
4,749 claims
Ultrasound
Avg $48.12
4,205 claims
X-Ray
Avg $12.89
4,002 claims