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 |
|---|---|---|---|
|
John Howard Knight
2202 N Berkshire Rd |
$23.30 | 25 | 25 |
|
Sarah Elizabeth Snow Summers
244 Hydraulic Ridge Rd |
$27.08 | 25 | 25 |
|
Nicholas Bottorff
240 Hydraulic Ridge Rd Ste 101 |
$18.57 | 52 | 52 |
|
Rebecca Karp
1215 Lee St Box #800740 |
$20.21 | 73 | 71 |
|
Nicholas Hill
2202 N Berkshire Rd Ste 201 |
$24.83 | 81 | 81 |
|
Hong-Anh Ngoc Tran
2250 Old Ivy Rd Ste 3 |
$0.00 | 123 | 123 |
|
Margaret Elisabeth West
1204 W Main St |
$31.55 | 145 | 140 |
|
Katelyn Cantrell
1215 Lee St |
$0.00 | 202 | 202 |
|
Rabia Rafiq
259 Hydraulic Ridge Rd |
$27.05 | 290 | 288 |
|
Matthew Barrick
1222 Jefferson Park Ave |
$21.47 | 297 | 289 |
|
Eric Bokinsky
1222 Jefferson Park Ave |
$14.55 | 306 | 301 |
|
Heather Ballentine
1470 Pantops Mountain Pl |
$26.04 | 348 | 347 |
|
Carlos R Ibanez
1415 Rolkin Court |
$19.43 | 381 | 377 |
|
Thomas E. Leinbach
1222 Jefferson Park Ave |
$29.53 | 398 | 398 |
|
Jennifer Mark Dixon
229 Connor Dr |
$25.13 | 519 | 503 |
|
Brian C. Hoard
1222 Jefferson Park Ave |
$24.69 | 719 | 707 |
|
Ted R. Galbraith
1222 Jefferson Park Ave |
$26.24 | 1,098 | 1,082 |
|
Erika Meireles Dos Santos
3048 Berkmar Dr Ste A |
$33.39 | 1,106 | 1,032 |
|
Gregory A Conner
244 Hydraulic Ridge Road |
$22.95 | 1,391 | 1,348 |
|
Jae Ha Kim
2700 Hydraulic Rd |
$31.74 | 1,597 | 1,595 |
|
Giuseppe Rebellato
1470 Pantops Mountain Pl |
$19.40 | 1,709 | 1,682 |
|
Sowmya Lakshmi Karamcheti
2375 Commonwealth Dr |
$30.60 | 1,923 | 1,911 |
|
Taylor Smith
1620 Timberwood Blvd Ste 201 |
$18.72 | 2,194 | 2,173 |
|
Vishawdeep Singh Dhaliwal
1222 Jefferson Park Ave |
$31.68 | 2,466 | 2,465 |
|
Aaron Jairus Stump
229 Connor Dr |
$20.71 | 2,789 | 2,782 |
|
Carla L. Chavez-Mayorga
1222 Jefferson Park Ave |
$20.64 | 3,465 | 3,365 |
|
Avanthika Balasubramanian
1470 Pantops Mountain Pl Ste 1 |
$0.00 | 4,096 | 4,096 |
|
Kimberly P Tran
1470 Pantops Mountain Pl Ste 1 |
$29.18 | 6,056 | 6,039 |
|
Kathryn A Cook
895 B Rio East Court |
$26.20 | 8,277 | 8,225 |
|
Natasha Amy Grover
2320 Commonwealth Dr |
$21.49 | 8,441 | 7,561 |
|
Jacqueline M Carney
1470 Pantops Mountain Pl |
$21.95 | 9,421 | 9,368 |
|
Barrett W R Peters
240 Hydraulic Ridge Rd |
$27.50 | 9,578 | 9,486 |
|
Jessica Mcauliffe
2202 N Berkshire Rd |
$28.64 | 10,395 | 10,356 |
|
Jessica Moore
1470 Pantops Mountain Pl |
$26.51 | 16,054 | 15,839 |
|
Robert Lunka
895 Rio East Ct Ste B |
$22.44 | 17,143 | 16,965 |
|
Jose E Urresti Soberon
1470 Pantops Mountain Pl |
$27.30 | 18,051 | 17,880 |
|
Lindsey North
1470 Pantops Mountain Pl |
$25.05 | 22,808 | 22,262 |
|
Julia Anne Guerrier
895 Rio East Ct |
$32.73 | 23,897 | 23,486 |
|
Susan Michelle Seal
259 Hydraulic Ridge Rd |
$27.64 | 52,439 | 51,994 |
|
Mouhammad Hazem Seirawan
1470 Pantops Mountain Pl |
$51.38 | 53,901 | 53,645 |
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