Average Medicaid Dental Cleaning & Exam Payments in Bayamon, PR: $20.42
Avg. Paid
$20.42
Range
$0.24 – $38.60
Total Claims
320,813
Providers
97
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 Bayamon, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elsa Cristina Justiniano
3R40 Ave Laurel |
$20.33 | 20,816 | 19,039 |
|
Aurelio Ruiz
Za-20 Comerio Ave. |
$17.87 | 20,237 | 18,122 |
|
Hiram Vega
Azalea 1 A 7 Royal Palm |
$16.88 | 16,865 | 13,357 |
|
Victor Rivera
Ave. Santa Juanita |
$21.26 | 16,638 | 14,448 |
|
Rafael Xavier Rodriguez-Werner
Reparto Alhambra D95 Ave. Los Millones |
$21.61 | 15,100 | 13,623 |
|
Nelly Ivelisse Catala
Ave Las Millones D-95 |
$19.85 | 13,585 | 11,158 |
|
Ramon A Zorrilla Lassus
Calle J Esquina Calle B Edificio Medico Hnas. Davila |
$20.41 | 13,201 | 11,299 |
|
Diego Velez
34 Calle Parque |
$38.60 | 12,971 | 12,733 |
|
Ramon A Ramirez-Otero
Ave.Gilberto Concepcion De Gracia Sierra Bayamon |
$21.20 | 12,913 | 12,140 |
|
Darius Rodriguez-Marquez
Bb25 Ave Santa Juanita |
$0.24 | 12,564 | 12,371 |
|
Cristina E. Santiago
Canton Mall |
$21.23 | 10,164 | 9,540 |
|
Felix Daniel Marquez
Centro Comercial Royal Gardens Local #8 |
$19.79 | 8,791 | 8,037 |
|
Beatriz Yolanda Calderon
2135 Carr 2 Ste 45 |
$19.85 | 8,092 | 7,312 |
|
Mary E Fiol Lay
Calle J Esq. Calle B Edificio Medico Hnas. Davila |
$19.68 | 6,768 | 5,879 |
|
Rafael E Ramirez Diaz
47 Calle 1 |
$36.51 | 6,755 | 5,726 |
|
Maria Strubbe
28 Calle Palmer |
$20.49 | 6,445 | 5,853 |
|
Maribel Rivera
Ave Betances 181A |
$19.07 | 6,090 | 5,854 |
|
Rosa Liz Collazo
D95 Ave Los Millones |
$17.89 | 6,021 | 5,590 |
|
Luis Armando Pacheco Perez
Ave. Main Bloq 31 #61 |
$21.86 | 5,693 | 5,009 |
|
Carlos E Cordova-Iturregui
Urb Riverview |
$18.65 | 4,845 | 4,648 |
|
Jorge Luis Perez
Local 4A Parque Y Rossi |
$18.09 | 4,543 | 4,071 |
|
Godys Sosa
330 Ave Los Dominicos # Urb |
$20.13 | 4,468 | 3,856 |
|
Efrain Montanez
167 Ave. |
$20.51 | 4,245 | 3,780 |
|
Felix Maldonado
Calle 78 Bloque 92 #3 Frente Parque De Las Ciencias |
$20.75 | 4,189 | 4,055 |
|
Mayra Enid Narvaez-Rivera
Azalea Street |
$21.61 | 3,902 | 3,679 |
|
Alberto Luis Diaz-Sanchez
Aguas Buenas Ave. Blk. 10 #14 |
$21.38 | 3,587 | 3,169 |
|
Victor Rivera
Ave. Santa Juanita |
$16.50 | 3,561 | 2,845 |
|
Eileen Ayala-Cosme
T1 Calle 1A |
$20.27 | 3,507 | 3,245 |
|
Lenna M Aviles
Marginal Cana Calle 5 Pp-14 |
$21.73 | 3,241 | 2,825 |
|
Carmelo Martinez-Rivera
Bb25 Ave Santa Juanita |
$19.89 | 3,189 | 2,618 |
|
Marilu Rodriguez
Urb. Santa Cruz E-11 |
$19.37 | 3,144 | 2,855 |
|
Laura F Rosado Albacarys
Urb Miraflores Ave Los Dominicos #8 |
$21.93 | 2,947 | 2,191 |
|
Mayra Milagros Legrand Flores
Ave. Teniente N. Martinez L17 |
$20.76 | 2,904 | 2,371 |
|
Jazmin Rosado
B4 Calle Marginal |
$19.02 | 2,816 | 2,648 |
|
Luz Ines Rivera Perez
19-5 Calle 28 |
$21.17 | 2,464 | 1,797 |
|
Bolivar Antonio Garcia
Galeria Medica Suite 202 |
$22.04 | 2,395 | 2,179 |
|
Manuel Angel Rosario
#59 Calle Santa Cruz |
$24.16 | 2,264 | 2,167 |
|
Kamyr M Martinez
Bb-25 Ave. Santa Juanita |
$23.87 | 1,984 | 1,699 |
|
Anneris Matias
Carr. 167 Km 17.8 Bo. Pajaros Puertorriquenos |
$22.68 | 1,974 | 1,958 |
|
Eduardo Crespo
Medical Ophthalmic Plaza 1875 Carr 2 |
$26.36 | 1,874 | 1,419 |
|
Dana M Ortiz-Sastre
Ig15 Calle Crisantemo |
$20.63 | 1,732 | 1,588 |
|
Manuel Ferran
A5 Calle 24 |
$17.68 | 1,653 | 1,549 |
|
Rafael Martinez-Aguirrechu
51-46 Ave Main |
$20.33 | 1,648 | 1,564 |
|
Lizmary Garcia
Z-30 Ave. Laurel |
$25.55 | 1,491 | 940 |
|
Maria Teresa Cadilla
Ia5 Ave Lomas Verdes |
$21.66 | 1,450 | 1,381 |
|
Javier Andres Cevallos Ramos
Torre San Pablo, Suite 702 Calle Santa Cruz #68 |
$23.81 | 1,373 | 977 |
|
Alfonso Cuesta
76 Calle Dr Veve |
$23.89 | 1,328 | 1,269 |
|
Javier Antonio Rosado
77 Calle Santa Cruz |
$23.64 | 1,246 | 1,073 |
|
Wanda Cruzado
Ave Minillas Dc 8 |
$20.49 | 1,205 | 1,048 |
|
Nelson Rodriguez
68 Calle Santa Cruz |
$21.28 | 1,191 | 1,111 |
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 Bayamon, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Bayamon, PR is $20.42 per claim, based on 320,813 claims from 97 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 Bayamon, PR?
There are 97 Medicaid providers offering Dental Cleaning & Exam related services in Bayamon, PR according to public payment data.
What is the price range for Dental Cleaning & Exam in Bayamon, PR?
Medicaid reimbursement for Dental Cleaning & Exam in Bayamon, PR ranges from $0.24 to $38.60 per claim, with an average of $20.42. 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
4,929,791 claims · 823 providers
Los Angeles, CA
Avg $49.60
3,990,780 claims · 877 providers
Houston, TX
Avg $39.95
3,744,881 claims · 918 providers
Bronx, NY
Avg $31.12
3,317,284 claims · 478 providers
New York, NY
Avg $30.52
3,240,448 claims · 723 providers
Phoenix, AZ
Avg $11.18
2,295,389 claims · 350 providers
San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
Other Procedures in Bayamon, PR
Office Visit
Avg $18.30
1,369,233 claims
Blood Work & Lab Tests
Avg $10.90
880,654 claims
Urinalysis & Urine Tests
Avg $3.85
212,403 claims
Eye Exam
Avg $30.22
176,798 claims
Vaccines & Immunizations
Avg $7.38
172,718 claims
Emergency Room Visit
Avg $52.66
130,431 claims
X-Ray
Avg $8.69
124,303 claims
Psychiatric Evaluation
Avg $5.48
117,045 claims