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 |
|---|---|---|---|
|
Gnathos Surgical Group, Llc
Suite 305 Carolina Shopping Court |
$34.72 | 16 | 16 |
|
Hiram Suris
10 Ave Laguna # 205 |
$16.72 | 24 | 24 |
|
Orlando R. Martin
2Rr471 Via 1 |
$25.52 | 50 | 41 |
|
Pereira And Associates Psc
Bh12 Calle 110 |
$14.96 | 60 | 60 |
|
Endodoncia Del Noreste, Psc
Roberto Clemente Avenue |
$30.37 | 63 | 50 |
|
Pedro Luis Pereira-Ruiz
Bh12 Calle 110 |
$19.07 | 69 | 42 |
|
J Restituyo-Rosario, Llc
143-3 Calle 401 |
$34.29 | 98 | 80 |
|
Roberto E Nieves
Carretera # 3 K.M. 11.7 |
$16.39 | 140 | 118 |
|
Arnaldo R Valencia Pintado
Carolina Shopp Ctr |
$34.59 | 170 | 156 |
|
Francisco L. Bermudez Segarra
Suite 305 Carolina Shopping Court |
$29.19 | 183 | 162 |
|
Carolina Dental Group
Ave Fernandez Juncos Esq Molinillo |
$23.41 | 189 | 163 |
|
Luz A. Betancourt
#1213 Luis Caballer Street |
$17.05 | 207 | 183 |
|
Carmen Rita Charneco
3Ks8 Via Myrta |
$15.43 | 217 | 164 |
|
William N. Moreno
B5 Calle Fernandez Juncos N |
$17.06 | 222 | 156 |
|
Jeanette Cabrera
Ave. Fidalgo Diaz Villa Fontana |
$17.23 | 272 | 186 |
|
Universidad De Puerto Rico Recinto De Ciencias Medicas
Carr. 3 Km 8.3 |
$17.70 | 283 | 274 |
|
Oscar Ramon Lugo
Ave. Campo Rico A-5 |
$17.97 | 287 | 267 |
|
Melvin Vazquez Cintron
Carr 3 Km 8.3 Ave. 65 De Infanteria |
$27.42 | 332 | 207 |
|
Jannelly Restituyo Rosario
143-3 Calle 401 |
$33.72 | 334 | 290 |
|
Norberto Medina Pellicer
Laguna Gardens Shopping Center |
$17.31 | 415 | 302 |
|
Coralie Rivera Aponte
Carretera 3 Km. 8.3 |
$27.32 | 466 | 371 |
|
Rafael J Rivera
D16 Ave Roberto Clemente |
$15.63 | 496 | 387 |
|
Isabel M. Fuertes
Castellana Gardens |
$18.22 | 529 | 448 |
|
Mayra Vera
Fidalgo Diaz Ave. |
$15.84 | 537 | 435 |
|
Luis Enrique Betances Rahola
Cond Condesa Del Mar # 3103 |
$18.67 | 634 | 573 |
|
Servicios De Salud Oral, Csp
1225 Calle Marginal Villamar |
$26.41 | 828 | 626 |
|
Jaime Suarez
Los Colobos Shopping Center Cinema Building |
$30.78 | 1,084 | 968 |
|
Ernie Pedro Diaz
4Ls12 Via Leticia |
$18.75 | 1,091 | 894 |
|
Krystal Sanchez Garcia
Carretera 3 Km. 8.3 |
$23.39 | 1,333 | 946 |
|
Frederick Fernandez
Via Josefina 4-Ss-8 |
$22.09 | 1,338 | 1,139 |
|
Luis A Capo
Villa Carolina |
$15.95 | 1,459 | 1,234 |
|
Jose R. Alvarado
Be11 Calle 101 |
$19.31 | 1,577 | 1,346 |
|
Nimsy Ruiz
Carolina Shopp Ctr Ste 311 |
$15.85 | 1,600 | 1,284 |
|
Gerardina Maria Gomez Nunez
Gk36 Ave Roberto Sanchez Vilella |
$21.15 | 1,794 | 1,580 |
|
Mario Sanchez-Torres
Gk40 Ave. Campo Rico |
$18.36 | 2,114 | 1,821 |
|
Ricardo J. Perez
Ignacio Arzuaga, 5 West |
$29.98 | 2,163 | 2,040 |
|
Camibi A Rivera Sanfiorenzo
23 Calle Marginal |
$21.13 | 2,187 | 1,712 |
|
Roc Dental Services, P.Sc.
Ave. Roberto Clemente |
$16.00 | 2,338 | 1,828 |
|
Myrna Yaritza Cardona
Hr27 Ave El Comandante |
$43.39 | 2,433 | 2,406 |
|
Damil Vazquez
Ave Monserrate |
$13.47 | 2,518 | 2,230 |
|
Puerto Rico Dental Care
Via Mirta 3 Ds-1 |
$16.01 | 2,578 | 2,185 |
|
Brenda L Torres Rivera
30 Calle Jupiter |
$16.79 | 2,621 | 2,163 |
|
Alice Marie Arroyo
Carretera 3 Km. 8.3 Ave 65 De Infanteria |
$23.77 | 2,766 | 2,082 |
|
Isabel Garcia
Suite 09 |
$18.73 | 3,018 | 2,656 |
|
Carlos Ramon Urrutia
E122 Carr 860 |
$21.14 | 3,281 | 2,935 |
|
Luis F Gonzalez
Carr 857 Km 0.4 Bo Canovanillas |
$22.57 | 3,285 | 2,426 |
|
Neila M Acosta
Carolina Shopping Court |
$19.44 | 3,348 | 3,023 |
|
Yatnee Alys Encarnacion Gines
Kil 8 Puerto Rico 3 Calle 3 |
$22.07 | 3,748 | 3,267 |
|
Lizbeth Rodriguez
Carr. 3 Km 8.3 Ave. 65 De Infanteria |
$23.03 | 4,363 | 3,417 |
|
Oiknelly Caldera
Ave 65 Infanteria # 3 |
$16.38 | 4,568 | 3,790 |
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