Average Medicaid Dental Cleaning & Exam Payments in Carbondale, IL: $24.00
Avg. Paid
$24.00
Range
$0.01 – $41.35
Total Claims
109,755
Providers
15
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 Carbondale, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Russell Edward Klein
374 E Grand Ave |
$20.65 | 160 | 146 |
|
Audrey Fields
402 S Lewis Ln |
$18.25 | 179 | 171 |
|
Ralph Kimbrough
402 S. Lewis Ln |
$28.95 | 498 | 464 |
|
Olumayomide Coker
402 S Lewis Ln |
$22.92 | 547 | 546 |
|
Karen Choi
1111 E Walnut St Ste B |
$37.90 | 640 | 640 |
|
Geoffrey Andrews Partlow
1001 N Beadle Dr |
$33.23 | 1,010 | 979 |
|
Corey Harrington
402 South Lewis Lane |
$13.90 | 1,849 | 1,822 |
|
Amy M Wyatt
101 S Wall St |
$30.80 | 2,002 | 1,909 |
|
Laura Schall
402 S Lewis Ln |
$20.19 | 3,207 | 2,482 |
|
Scott Michael Bietsch
402 S Lewis Ln |
$35.15 | 4,950 | 4,798 |
|
Danna P Cotner
1365 Douglas Dr |
$41.35 | 5,262 | 5,081 |
|
Arjun Gauba
402 S Lewis Ln |
$30.72 | 14,438 | 13,836 |
|
Sahitya Chiramana
402 S Lewis Ln |
$31.72 | 14,985 | 14,533 |
|
Shawnee Health Service & Development Corp
402 S. Lewis Lane |
$0.01 | 26,778 | 26,162 |
|
Dwayne Gail Summers
1365 Douglas Dr |
$32.47 | 33,250 | 32,262 |
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 Carbondale, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Carbondale, IL is $24.00 per claim, based on 109,755 claims from 15 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 Carbondale, IL?
There are 15 Medicaid providers offering Dental Cleaning & Exam related services in Carbondale, IL according to public payment data.
What is the price range for Dental Cleaning & Exam in Carbondale, IL?
Medicaid reimbursement for Dental Cleaning & Exam in Carbondale, IL ranges from $0.01 to $41.35 per claim, with an average of $24.00. 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
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Houston, TX
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
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Phoenix, AZ
Avg $11.18
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Avg $40.74
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Other Procedures in Carbondale, IL
Office Visit
Avg $12.72
451,954 claims
Emergency Room Visit
Avg $61.27
152,544 claims
EKG / ECG (Electrocardiogram)
Avg $9.49
83,747 claims
Vaccines & Immunizations
Avg $0.13
77,901 claims
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Avg $80.03
70,778 claims
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Avg $2.08
38,270 claims
Case Management Services
Avg $55.47
35,921 claims
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Avg $24.48
30,006 claims