Average Medicaid Dental Cleaning & Exam Payments in Charlottesville, VA: $30.94
Avg. Paid
$30.94
Range
$0.00 – $51.38
Total Claims
284,279
Providers
40
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 Charlottesville, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mouhammad Hazem Seirawan
1470 Pantops Mountain Pl |
$51.38 | 53,901 | 53,645 |
|
Susan Michelle Seal
259 Hydraulic Ridge Rd |
$27.64 | 52,439 | 51,994 |
|
Julia Anne Guerrier
895 Rio East Ct |
$32.73 | 23,897 | 23,486 |
|
Lindsey North
1470 Pantops Mountain Pl |
$25.05 | 22,808 | 22,262 |
|
Jose E Urresti Soberon
1470 Pantops Mountain Pl |
$27.30 | 18,051 | 17,880 |
|
Robert Lunka
895 Rio East Ct Ste B |
$22.44 | 17,143 | 16,965 |
|
Jessica Moore
1470 Pantops Mountain Pl |
$26.51 | 16,054 | 15,839 |
|
Jessica Mcauliffe
2202 N Berkshire Rd |
$28.64 | 10,395 | 10,356 |
|
Barrett W R Peters
240 Hydraulic Ridge Rd |
$27.50 | 9,578 | 9,486 |
|
Jacqueline M Carney
1470 Pantops Mountain Pl |
$21.95 | 9,421 | 9,368 |
|
Natasha Amy Grover
2320 Commonwealth Dr |
$21.49 | 8,441 | 7,561 |
|
Kathryn A Cook
895 B Rio East Court |
$26.20 | 8,277 | 8,225 |
|
Kimberly P Tran
1470 Pantops Mountain Pl Ste 1 |
$29.18 | 6,056 | 6,039 |
|
Avanthika Balasubramanian
1470 Pantops Mountain Pl Ste 1 |
$0.00 | 4,096 | 4,096 |
|
Carla L. Chavez-Mayorga
1222 Jefferson Park Ave |
$20.64 | 3,465 | 3,365 |
|
Aaron Jairus Stump
229 Connor Dr |
$20.71 | 2,789 | 2,782 |
|
Vishawdeep Singh Dhaliwal
1222 Jefferson Park Ave |
$31.68 | 2,466 | 2,465 |
|
Taylor Smith
1620 Timberwood Blvd Ste 201 |
$18.72 | 2,194 | 2,173 |
|
Sowmya Lakshmi Karamcheti
2375 Commonwealth Dr |
$30.60 | 1,923 | 1,911 |
|
Giuseppe Rebellato
1470 Pantops Mountain Pl |
$19.40 | 1,709 | 1,682 |
|
Jae Ha Kim
2700 Hydraulic Rd |
$31.74 | 1,597 | 1,595 |
|
Gregory A Conner
244 Hydraulic Ridge Road |
$22.95 | 1,391 | 1,348 |
|
Erika Meireles Dos Santos
3048 Berkmar Dr Ste A |
$33.39 | 1,106 | 1,032 |
|
Ted R. Galbraith
1222 Jefferson Park Ave |
$26.24 | 1,098 | 1,082 |
|
Brian C. Hoard
1222 Jefferson Park Ave |
$24.69 | 719 | 707 |
|
Jennifer Mark Dixon
229 Connor Dr |
$25.13 | 519 | 503 |
|
Thomas E. Leinbach
1222 Jefferson Park Ave |
$29.53 | 398 | 398 |
|
Carlos R Ibanez
1415 Rolkin Court |
$19.43 | 381 | 377 |
|
Heather Ballentine
1470 Pantops Mountain Pl |
$26.04 | 348 | 347 |
|
Eric Bokinsky
1222 Jefferson Park Ave |
$14.55 | 306 | 301 |
|
Matthew Barrick
1222 Jefferson Park Ave |
$21.47 | 297 | 289 |
|
Rabia Rafiq
259 Hydraulic Ridge Rd |
$27.05 | 290 | 288 |
|
Katelyn Cantrell
1215 Lee St |
$0.00 | 202 | 202 |
|
Margaret Elisabeth West
1204 W Main St |
$31.55 | 145 | 140 |
|
Hong-Anh Ngoc Tran
2250 Old Ivy Rd Ste 3 |
$0.00 | 123 | 123 |
|
Nicholas Hill
2202 N Berkshire Rd Ste 201 |
$24.83 | 81 | 81 |
|
Rebecca Karp
1215 Lee St Box #800740 |
$20.21 | 73 | 71 |
|
Nicholas Bottorff
240 Hydraulic Ridge Rd Ste 101 |
$18.57 | 52 | 52 |
|
John Howard Knight
2202 N Berkshire Rd |
$23.30 | 25 | 25 |
|
Sarah Elizabeth Snow Summers
244 Hydraulic Ridge Rd |
$27.08 | 25 | 25 |
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 Charlottesville, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Charlottesville, VA is $30.94 per claim, based on 284,279 claims from 40 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 Charlottesville, VA?
There are 40 Medicaid providers offering Dental Cleaning & Exam related services in Charlottesville, VA according to public payment data.
What is the price range for Dental Cleaning & Exam in Charlottesville, VA?
Medicaid reimbursement for Dental Cleaning & Exam in Charlottesville, VA ranges from $0.00 to $51.38 per claim, with an average of $30.94. 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 Charlottesville, VA
Office Visit
Avg $136.17
1,567,109 claims
Blood Work & Lab Tests
Avg $5.91
1,542,207 claims
X-Ray
Avg $8.17
685,304 claims
Substance Abuse Treatment
Avg $55.62
629,775 claims
Emergency Room Visit
Avg $131.46
564,756 claims
Non-Emergency Medical Transportation
Avg $69.45
541,131 claims
Home Health Visit
Avg $89.44
372,945 claims
Vaccines & Immunizations
Avg $9.90
335,059 claims