Average Medicaid Dental Cleaning & Exam Payments in Bristol, TN: $26.30
Avg. Paid
$26.30
Range
$15.39 – $39.20
Total Claims
129,685
Providers
14
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 Bristol, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jayson C. Smith
350 Blountville Hwy |
$26.51 | 66,891 | 66,195 |
|
Todd Edward Pillion
350 Blountville Hwy Ste 202 |
$25.70 | 38,782 | 38,351 |
|
Stephanie Ann Snelson
1522 Edgemont Ave |
$24.45 | 8,380 | 7,904 |
|
William Chris Shipley
401 Edgemont Ave |
$32.83 | 4,137 | 4,023 |
|
Brandon Scott Roller
401 Edgemont Ave |
$33.00 | 3,752 | 3,701 |
|
Donald Smith Redford
350 Blountville Hwy |
$15.39 | 2,142 | 1,426 |
|
Michael L Hamlin
1 Medical Park Blvd |
$21.57 | 1,292 | 1,272 |
|
Scottie Reagan
245 Midway Medical Park |
$21.43 | 1,240 | 1,216 |
|
Jason Blaine Pittman
401 Martin Luther King Jr Blvd |
$30.12 | 1,220 | 1,195 |
|
Andrew Mcbride
401 Martin Luther King Jr Blvd |
$25.76 | 687 | 619 |
|
Alexander Wayne Pilgreen
2319 Volunteer Pkwy |
$31.53 | 672 | 662 |
|
Mark H. Webb
523 Holston Ave |
$21.95 | 326 | 321 |
|
Shirin Amirfaiz
1401 Volunteer Pkwy |
$33.26 | 85 | 85 |
|
Dillon Houston Cutshaw
245 Midway Medical Park |
$39.20 | 79 | 79 |
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 Bristol, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Bristol, TN is $26.30 per claim, based on 129,685 claims from 14 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 Bristol, TN?
There are 14 Medicaid providers offering Dental Cleaning & Exam related services in Bristol, TN according to public payment data.
What is the price range for Dental Cleaning & Exam in Bristol, TN?
Medicaid reimbursement for Dental Cleaning & Exam in Bristol, TN ranges from $15.39 to $39.20 per claim, with an average of $26.30. 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 Bristol, TN
Office Visit
Avg $43.50
445,419 claims
Blood Work & Lab Tests
Avg $3.93
177,679 claims
X-Ray
Avg $6.72
157,014 claims
Emergency Room Visit
Avg $115.41
155,283 claims
Psychiatric Evaluation
Avg $57.71
106,590 claims
Ambulance Transport
Avg $22.30
99,733 claims
CT Scan (Computed Tomography)
Avg $62.17
70,288 claims
Vaccines & Immunizations
Avg $15.13
54,578 claims