Average Medicaid Dental Cleaning & Exam Payments in Decatur, AL: $23.50
Avg. Paid
$23.50
Range
$0.00 – $28.02
Total Claims
114,089
Providers
22
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 Decatur, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samuel Gregory Hawkins
1823 Somerville Rd Se |
$23.13 | 39,912 | 37,938 |
|
James Franklin Campbell
1815 Somerville Rd Se |
$25.06 | 22,142 | 21,784 |
|
Riley L Hawkins
1823 Somerville Rd Se |
$23.75 | 14,387 | 13,896 |
|
Antonio Gales
1823 Somerville Rd Se |
$22.15 | 9,148 | 8,364 |
|
Hawkins Mccaghren Partnership
1823 Somerville Rd Se |
$28.02 | 8,907 | 8,504 |
|
Anh Trieu Hoang
1815 Somerville Rd Se |
$24.77 | 6,784 | 6,566 |
|
Harry Patrick Stanley
1304 14Th Ave Se |
$21.25 | 4,024 | 3,689 |
|
Thomas T. Willis
2691 Sandlin Rd Sw Ste C |
$18.31 | 2,545 | 1,901 |
|
Joshua Dwight Hood
1823 Somerville Rd Se |
$21.68 | 1,622 | 1,495 |
|
Leon Malcolm Clark
203B Commerce Circle Sw |
$21.68 | 1,385 | 1,332 |
|
Crystal Leann Landrum
1501 7Th St Se Ste A |
$0.00 | 834 | 740 |
|
Jassen Allen Anthony
466 Highway 67 S |
$20.15 | 533 | 486 |
|
Miles S. Mccarthy
2422 Danville Rd Sw Ste B |
$19.47 | 472 | 431 |
|
Scott Michael Sumners
1823 Somerville Rd Se |
$22.08 | 424 | 399 |
|
William Floyd Littlejohn
2023 Danville Park Dr Sw |
$24.72 | 282 | 256 |
|
Vital Smiles Alabama Ii Pc
809 Beltline Rd Sw Ste A |
$0.00 | 207 | 203 |
|
Stephen L Watkins
2122A Danville Rd Sw |
$16.37 | 166 | 91 |
|
Spencer Ryan Terry
2122A Danville Rd Sw |
$20.44 | 149 | 142 |
|
Michael Shane Stevenson
1401 Stratford Rd Se |
$11.82 | 127 | 117 |
|
Welden Ondocsin Dentistry Llc
2691 Sandlin Rd Sw Ste C |
$14.67 | 15 | 13 |
|
Decatur Family Dentistry, Pc
2426 Danville Road Sw |
$18.33 | 12 | 12 |
|
Alicia Danielle Barbour
1241 Pt Mallard Pkwy Ste 410 |
$0.00 | 12 | 12 |
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 Decatur, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Decatur, AL is $23.50 per claim, based on 114,089 claims from 22 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 Decatur, AL?
There are 22 Medicaid providers offering Dental Cleaning & Exam related services in Decatur, AL according to public payment data.
What is the price range for Dental Cleaning & Exam in Decatur, AL?
Medicaid reimbursement for Dental Cleaning & Exam in Decatur, AL ranges from $0.00 to $28.02 per claim, with an average of $23.50. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
Brooklyn, NY
Avg $29.76
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Chicago, IL
Avg $29.66
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Los Angeles, CA
Avg $49.60
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Houston, TX
Avg $39.95
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
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Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
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Other Procedures in Decatur, AL
Office Visit
Avg $39.95
336,311 claims
Behavioral & Mental Health Therapy
Avg $55.34
181,784 claims
Psychiatric Evaluation
Avg $79.81
172,293 claims
Physical Therapy
Avg $23.23
153,971 claims
Blood Work & Lab Tests
Avg $7.90
79,935 claims
Case Management Services
Avg $117.16
70,977 claims
Emergency Room Visit
Avg $54.32
68,321 claims
Non-Emergency Medical Transportation
Avg $16.42
60,329 claims