Average Medicaid Dental Cleaning & Exam Payments in Circleville, OH: $25.64
Avg. Paid
$25.64
Range
$13.63 – $43.18
Total Claims
53,646
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 Circleville, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shawn F Catlos
1170 N Court St |
$13.63 | 15 | 13 |
|
Jeffrey Martini
1422 Circleville Plaza Dr |
$23.39 | 27 | 27 |
|
Emily Cook
1422 Circleville Plaza Dr |
$22.93 | 63 | 58 |
|
Caleb Rainey
120 Walnut Creek Pike |
$29.86 | 367 | 362 |
|
Sean Robert Byers
701 E Main St |
$31.69 | 681 | 661 |
|
Jacob Scott Osborn
120 Walnut Creek Pike |
$35.64 | 806 | 795 |
|
Keira A Ankrom
600 N Court St |
$43.18 | 914 | 904 |
|
Tyler Jeffrey Brown
600 N Court St |
$22.05 | 1,324 | 1,309 |
|
Andrew Charles Palmer
600 N Court St |
$23.49 | 1,891 | 1,822 |
|
Naylor Dental Llc
915 S Court St |
$23.97 | 2,045 | 1,961 |
|
Robert Mark Tootle
600 N Court St |
$21.53 | 3,248 | 3,216 |
|
Hung Khanh Truong
1422 Circleville Plaza Dr |
$22.93 | 4,444 | 4,038 |
|
Stephanie Leigh Sforza
915 S Court St |
$31.99 | 5,404 | 5,145 |
|
Hayes E Wilcox
1170 N Court St |
$22.17 | 14,327 | 13,965 |
|
Brian Mason
1422 Circleville Plaza Dr |
$26.95 | 18,090 | 17,519 |
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 Circleville, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Circleville, OH is $25.64 per claim, based on 53,646 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 Circleville, OH?
There are 15 Medicaid providers offering Dental Cleaning & Exam related services in Circleville, OH according to public payment data.
What is the price range for Dental Cleaning & Exam in Circleville, OH?
Medicaid reimbursement for Dental Cleaning & Exam in Circleville, OH ranges from $13.63 to $43.18 per claim, with an average of $25.64. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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