Average Medicaid Dental Cleaning & Exam Payments in District Heights, MD: $38.37
Avg. Paid
$38.37
Range
$13.45 – $49.16
Total Claims
244,589
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 District Heights, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Juhn
6471 Marlboro Pike |
$28.26 | 71,137 | 69,481 |
|
Nam Hee Kim
6471 Marlboro Pike |
$43.04 | 40,702 | 40,023 |
|
Robert S. Dayse
2340 Evian Ct |
$42.47 | 38,893 | 38,135 |
|
Sapna Nandyala
5570 Silver Hill Rd |
$39.85 | 22,280 | 21,984 |
|
Madhu Venkata Rama Raju Nadimpalli
5570 Silver Hill Rd |
$39.18 | 19,012 | 18,737 |
|
Gregory Poku-Dankwah
6471 Marlboro Pike |
$45.00 | 13,940 | 13,621 |
|
Mulualem Tesfaye Assefa
5570 Silver Hill Rd |
$41.03 | 12,640 | 12,406 |
|
William Randall Cone
6471 Marlboro Pike |
$46.25 | 9,818 | 9,676 |
|
Halle Robinson
5570 Silver Hill Rd |
$48.96 | 3,795 | 3,785 |
|
Joosang Lee
5570 Silver Hill Rd |
$49.16 | 3,730 | 3,716 |
|
Lalita Srividya Posina
5570 Silver Hill Rd |
$38.37 | 3,079 | 3,021 |
|
Patrick B Larosiliere
5805 Silver Hill Rd |
$43.81 | 2,709 | 2,626 |
|
Larosiliere And Associates Dental Care, Pa
5805 Silver Hill Rd |
$48.33 | 2,575 | 2,420 |
|
John J. Park
5805 Silver Hill Rd Ste G |
$34.91 | 155 | 132 |
|
Healthy Dental Llc
5570 Silver Hill Rd |
$13.45 | 124 | 124 |
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 District Heights, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in District Heights, MD is $38.37 per claim, based on 244,589 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 District Heights, MD?
There are 15 Medicaid providers offering Dental Cleaning & Exam related services in District Heights, MD according to public payment data.
What is the price range for Dental Cleaning & Exam in District Heights, MD?
Medicaid reimbursement for Dental Cleaning & Exam in District Heights, MD ranges from $13.45 to $49.16 per claim, with an average of $38.37. 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 District Heights, MD
Dental Filling
Avg $115.52
79,570 claims
Psychiatric Evaluation
Avg $95.99
15,214 claims
Tooth Extraction
Avg $104.25
12,498 claims
Office Visit
Avg $77.49
12,134 claims
Behavioral & Mental Health Therapy
Avg $82.59
11,135 claims
Prescription Medications
Avg $2.10
7,626 claims
Root Canal
Avg $100.18
4,807 claims
Substance Abuse Treatment
Avg $24.99
3,387 claims