Average Medicaid Dental Cleaning & Exam Payments in Carolina, PR: $24.19
Avg. Paid
$24.19
Range
$13.47 – $43.39
Total Claims
231,563
Providers
61
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 Carolina, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eduardo Luis Garcia
5900 Ave Isla Verde |
$36.19 | 64,584 | 64,575 |
|
Raymond Ortiz Class
Roberto Clemente Ave |
$18.18 | 25,328 | 21,106 |
|
Jorge Ortiz Class
618 Calle Infante |
$18.53 | 18,281 | 15,565 |
|
Juan Jose Ledoux
208-18 Calle 510 |
$19.39 | 15,441 | 14,450 |
|
Juan C Ortiz De La Renta
Via Mirta 3 Ds-1 |
$17.33 | 7,139 | 5,891 |
|
Ramon Enrique Raffucci
Kl-5 Fidalgo Diaz Ave. |
$16.37 | 6,683 | 6,544 |
|
Rafael Angel Diaz Cancel
Calle Domingo Caceres #61W |
$19.61 | 6,245 | 5,371 |
|
Yanira Loaiza Morales
Ave Al Comandante Hr 17 Country Club |
$20.09 | 6,187 | 5,279 |
|
Militza Fernandez Rios
1225 Calle Marginal Villamar |
$19.76 | 5,899 | 4,855 |
|
Carmen Iris Rosado
444Thst Nc-9 Country Club |
$18.11 | 5,124 | 4,288 |
|
Maria M Bermudez
Calle 401 Blo 143 #6 |
$18.32 | 4,926 | 4,212 |
|
Oiknelly Caldera
Ave 65 Infanteria # 3 |
$16.38 | 4,568 | 3,790 |
|
Lizbeth Rodriguez
Carr. 3 Km 8.3 Ave. 65 De Infanteria |
$23.03 | 4,363 | 3,417 |
|
Yatnee Alys Encarnacion Gines
Kil 8 Puerto Rico 3 Calle 3 |
$22.07 | 3,748 | 3,267 |
|
Neila M Acosta
Carolina Shopping Court |
$19.44 | 3,348 | 3,023 |
|
Luis F Gonzalez
Carr 857 Km 0.4 Bo Canovanillas |
$22.57 | 3,285 | 2,426 |
|
Carlos Ramon Urrutia
E122 Carr 860 |
$21.14 | 3,281 | 2,935 |
|
Isabel Garcia
Suite 09 |
$18.73 | 3,018 | 2,656 |
|
Alice Marie Arroyo
Carretera 3 Km. 8.3 Ave 65 De Infanteria |
$23.77 | 2,766 | 2,082 |
|
Brenda L Torres Rivera
30 Calle Jupiter |
$16.79 | 2,621 | 2,163 |
|
Puerto Rico Dental Care
Via Mirta 3 Ds-1 |
$16.01 | 2,578 | 2,185 |
|
Damil Vazquez
Ave Monserrate |
$13.47 | 2,518 | 2,230 |
|
Myrna Yaritza Cardona
Hr27 Ave El Comandante |
$43.39 | 2,433 | 2,406 |
|
Roc Dental Services, P.Sc.
Ave. Roberto Clemente |
$16.00 | 2,338 | 1,828 |
|
Camibi A Rivera Sanfiorenzo
23 Calle Marginal |
$21.13 | 2,187 | 1,712 |
|
Ricardo J. Perez
Ignacio Arzuaga, 5 West |
$29.98 | 2,163 | 2,040 |
|
Mario Sanchez-Torres
Gk40 Ave. Campo Rico |
$18.36 | 2,114 | 1,821 |
|
Gerardina Maria Gomez Nunez
Gk36 Ave Roberto Sanchez Vilella |
$21.15 | 1,794 | 1,580 |
|
Nimsy Ruiz
Carolina Shopp Ctr Ste 311 |
$15.85 | 1,600 | 1,284 |
|
Jose R. Alvarado
Be11 Calle 101 |
$19.31 | 1,577 | 1,346 |
|
Luis A Capo
Villa Carolina |
$15.95 | 1,459 | 1,234 |
|
Frederick Fernandez
Via Josefina 4-Ss-8 |
$22.09 | 1,338 | 1,139 |
|
Krystal Sanchez Garcia
Carretera 3 Km. 8.3 |
$23.39 | 1,333 | 946 |
|
Ernie Pedro Diaz
4Ls12 Via Leticia |
$18.75 | 1,091 | 894 |
|
Jaime Suarez
Los Colobos Shopping Center Cinema Building |
$30.78 | 1,084 | 968 |
|
Servicios De Salud Oral, Csp
1225 Calle Marginal Villamar |
$26.41 | 828 | 626 |
|
Luis Enrique Betances Rahola
Cond Condesa Del Mar # 3103 |
$18.67 | 634 | 573 |
|
Mayra Vera
Fidalgo Diaz Ave. |
$15.84 | 537 | 435 |
|
Isabel M. Fuertes
Castellana Gardens |
$18.22 | 529 | 448 |
|
Rafael J Rivera
D16 Ave Roberto Clemente |
$15.63 | 496 | 387 |
|
Coralie Rivera Aponte
Carretera 3 Km. 8.3 |
$27.32 | 466 | 371 |
|
Norberto Medina Pellicer
Laguna Gardens Shopping Center |
$17.31 | 415 | 302 |
|
Jannelly Restituyo Rosario
143-3 Calle 401 |
$33.72 | 334 | 290 |
|
Melvin Vazquez Cintron
Carr 3 Km 8.3 Ave. 65 De Infanteria |
$27.42 | 332 | 207 |
|
Oscar Ramon Lugo
Ave. Campo Rico A-5 |
$17.97 | 287 | 267 |
|
Universidad De Puerto Rico Recinto De Ciencias Medicas
Carr. 3 Km 8.3 |
$17.70 | 283 | 274 |
|
Jeanette Cabrera
Ave. Fidalgo Diaz Villa Fontana |
$17.23 | 272 | 186 |
|
William N. Moreno
B5 Calle Fernandez Juncos N |
$17.06 | 222 | 156 |
|
Carmen Rita Charneco
3Ks8 Via Myrta |
$15.43 | 217 | 164 |
|
Luz A. Betancourt
#1213 Luis Caballer Street |
$17.05 | 207 | 183 |
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 Carolina, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Carolina, PR is $24.19 per claim, based on 231,563 claims from 61 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 Carolina, PR?
There are 61 Medicaid providers offering Dental Cleaning & Exam related services in Carolina, PR according to public payment data.
What is the price range for Dental Cleaning & Exam in Carolina, PR?
Medicaid reimbursement for Dental Cleaning & Exam in Carolina, PR ranges from $13.47 to $43.39 per claim, with an average of $24.19. 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 Carolina, PR
Office Visit
Avg $13.86
552,267 claims
Blood Work & Lab Tests
Avg $9.07
514,963 claims
Emergency Room Visit
Avg $58.06
282,272 claims
Vaccines & Immunizations
Avg $5.13
187,544 claims
Physical Therapy
Avg $25.66
161,918 claims
Urinalysis & Urine Tests
Avg $3.56
127,932 claims
Speech Therapy
Avg $41.50
114,079 claims
Durable Medical Equipment (DME)
Avg $2.54
101,761 claims