Average Medicaid Dental Cleaning & Exam Payments in Decatur, GA: $29.97
Avg. Paid
$29.97
Range
$12.35 – $47.13
Total Claims
65,886
Providers
18
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, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prathyusha Vadlamani
1756 Candler Rd |
$29.14 | 19,987 | 18,920 |
|
Jenae Smith
3069 Clifton Springs Rd |
$29.98 | 11,713 | 11,669 |
|
Leonard Johnson
200 E Ponce De Leon Ave Ste 300 |
$28.00 | 11,001 | 10,773 |
|
Keith Billings Shaw
4324 Covington Hwy |
$37.10 | 4,781 | 4,694 |
|
Anne Deatrick
144 S Columbia Dr |
$47.13 | 3,627 | 3,579 |
|
Monica Latrise Bolds
2600 Milscott Dr Apt 1234 |
$24.58 | 3,074 | 3,007 |
|
Jodi-Anne Nicole Pessoa
1187 Druid Walk |
$28.27 | 2,728 | 2,714 |
|
Gillian C Jones
200 E Ponce De Leon Ave |
$20.58 | 1,634 | 1,611 |
|
Akilah V Artis
315 W Ponce De Leon Ave |
$30.31 | 1,539 | 1,537 |
|
Jeffrey Maris Dyke
5243 Snapfinger Woods Dr Ste 106 |
$19.49 | 1,516 | 1,491 |
|
William David Martin
1756 Candler Rd |
$27.39 | 1,220 | 1,208 |
|
Firoz Lalani
2785 Lawrenceville Hwy |
$35.94 | 1,090 | 1,052 |
|
Jieun Jun
2450 Lawrenceville Hwy Ste 100 |
$24.58 | 643 | 640 |
|
Rickin Vibhakar
315 W Ponce De Leon Ave Ste 240 |
$28.00 | 630 | 629 |
|
Anahita Javadpour
1756 Candler Rd |
$28.34 | 350 | 350 |
|
Jessica Arnee Alford
200 E Ponce De Leon Ave Ste 300 |
$12.35 | 200 | 185 |
|
Laneshia Shante Camp
315 W Ponce De Leon Ave Ste 200 |
$24.56 | 104 | 104 |
|
Donald Jerome Campbell
2853 Candler Rd |
$17.32 | 49 | 32 |
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, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Decatur, GA is $29.97 per claim, based on 65,886 claims from 18 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, GA?
There are 18 Medicaid providers offering Dental Cleaning & Exam related services in Decatur, GA according to public payment data.
What is the price range for Dental Cleaning & Exam in Decatur, GA?
Medicaid reimbursement for Dental Cleaning & Exam in Decatur, GA ranges from $12.35 to $47.13 per claim, with an average of $29.97. 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 Decatur, GA
Blood Work & Lab Tests
Avg $5.43
338,832 claims
Office Visit
Avg $54.75
241,656 claims
Emergency Room Visit
Avg $119.94
148,510 claims
Urinalysis & Urine Tests
Avg $3.20
100,495 claims
Psychiatric Evaluation
Avg $77.64
82,684 claims
Ultrasound
Avg $88.79
61,972 claims
X-Ray
Avg $25.56
60,798 claims
Vaccines & Immunizations
Avg $19.99
56,305 claims