Average Medicaid Dental Cleaning & Exam Payments in Columbia, TN: $28.87
Avg. Paid
$28.87
Range
$23.61 – $31.53
Total Claims
91,595
Providers
13
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 Columbia, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Kirkland Andrews
1412 Trotwood Ave |
$29.49 | 20,067 | 19,215 |
|
Lauren Wilburn
706 Lion Pkwy |
$31.53 | 15,381 | 15,033 |
|
Gina Hanafi Carney
6000 Trotwood Ave |
$27.79 | 14,568 | 13,827 |
|
Carol Nixon
927 N. James Campbell Blvd |
$27.77 | 12,199 | 11,749 |
|
Heather Huntley Owens
6000 Trotwood Avenue |
$27.24 | 10,051 | 9,556 |
|
Nidhi Shah Patel
927 N James Campbell Blvd |
$28.54 | 7,906 | 7,238 |
|
Garry W Love
1818 Shady Brook Street |
$28.39 | 7,897 | 7,296 |
|
Beau Bolding
1300 Hatcher Ln Ste 1 |
$31.42 | 1,467 | 1,448 |
|
William L Hunter
1324 Trotwood Ave |
$23.61 | 1,128 | 1,104 |
|
Theryl Lynn Humphrey-Davis
1909 Hamphire Pike |
$30.45 | 407 | 393 |
|
Paul Edward Cullum
105 Berrywood Dr |
$27.71 | 302 | 299 |
|
Morgan B Hines
418 W 6Th St |
$29.30 | 196 | 190 |
|
James Lewis Dickson
104 Berrywood Dr |
$24.68 | 26 | 26 |
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 Columbia, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Columbia, TN is $28.87 per claim, based on 91,595 claims from 13 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 Columbia, TN?
There are 13 Medicaid providers offering Dental Cleaning & Exam related services in Columbia, TN according to public payment data.
What is the price range for Dental Cleaning & Exam in Columbia, TN?
Medicaid reimbursement for Dental Cleaning & Exam in Columbia, TN ranges from $23.61 to $31.53 per claim, with an average of $28.87. 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 Columbia, TN
Office Visit
Avg $37.81
620,420 claims
Non-Emergency Medical Transportation
Avg $5.28
300,654 claims
Vaccines & Immunizations
Avg $15.50
251,821 claims
Ambulance Transport
Avg $25.44
241,269 claims
Blood Work & Lab Tests
Avg $3.57
164,680 claims
Emergency Room Visit
Avg $106.56
115,078 claims
X-Ray
Avg $5.08
106,260 claims
Pathology & Lab Services
Avg $22.68
58,361 claims