Average Medicaid Dental Cleaning & Exam Payments in Durham, NC: $29.86
Avg. Paid
$29.86
Range
$0.00 – $69.72
Total Claims
790,132
Providers
161
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 Durham, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gregory Joseph Perentis
5310 Nc Highway 55 |
$29.40 | 86,301 | 84,821 |
|
Tracy J. Waters
4210 N. Roxboro Rd. |
$30.74 | 68,129 | 67,979 |
|
Amy Cummings Davidian
249 E Nc Highway 54 |
$28.82 | 62,551 | 59,502 |
|
Richard Dolan Frye
121 W Woodcroft Pkwy |
$32.32 | 49,858 | 49,849 |
|
Debora Ann Bolton
3823 Guess Rd |
$30.43 | 47,564 | 45,403 |
|
Lekecia Mcgee
436 Slateworth Dr |
$30.75 | 45,768 | 45,043 |
|
Dave E Foulkes
1308 Caribou Xing |
$28.55 | 45,309 | 43,332 |
|
Sindhura Citineni
3616 Durham Chapel Hill Blvd |
$28.64 | 36,876 | 34,643 |
|
Marthaann Keels
2711 N Duke St Ste A |
$26.75 | 29,121 | 26,272 |
|
Luz Eliyer Estrada
6104 Fayetteville Rd |
$30.50 | 25,410 | 24,107 |
|
Jina Kang Yoo
249 E Nc Highway 54 |
$27.56 | 20,581 | 19,329 |
|
Anthony Patrick Brown
2140 Page Rd Ste 101 |
$29.09 | 20,308 | 19,823 |
|
Haley Willis
3616 Durham Chapel Hill Blvd |
$27.38 | 14,875 | 14,621 |
|
Robert A Bailey
1006 Lamond Ave Ste C |
$31.17 | 14,644 | 13,954 |
|
Gabriel Alexandro Gonzalez
305 Towerview Dr Ste 119 |
$37.87 | 12,298 | 12,284 |
|
Shaina Holman
811 9Th St Ste 210 |
$31.65 | 10,912 | 9,903 |
|
Quang Ha
5400 S Miami Blvd |
$30.46 | 10,484 | 10,045 |
|
Bonnye R Anthony
1208 Riddle Rd |
$22.83 | 10,443 | 8,358 |
|
Erika Michelle Graham
103 Ganyard Farm Way |
$30.15 | 9,165 | 8,815 |
|
Eric Davis
2003 E Nc Highway 54 |
$24.18 | 9,164 | 7,282 |
|
Courtney Bowen Williams
5124 Copper Ridge Dr |
$30.04 | 8,798 | 8,554 |
|
Michael Brandon Landreth
3500 N Duke St |
$31.99 | 8,788 | 8,172 |
|
Lisa Onufrak Stoner
811 9Th St |
$28.27 | 8,686 | 7,941 |
|
Xiaojun Wang
4300 Garrett Rd |
$33.05 | 8,591 | 8,079 |
|
Pablo Andres Ramos
3901 N Roxboro St Ste 111 |
$29.25 | 8,100 | 7,652 |
|
Nicholas Mueller
5318 Nc Highway 55 Ste 106 |
$44.37 | 7,417 | 7,348 |
|
Katayoun Sadri
2741 Campus Walk Ave. Ste 300 |
$28.30 | 7,100 | 6,595 |
|
Seth Michael Jones
3823 Guess Road |
$27.16 | 6,303 | 5,771 |
|
Kerry Anzenberger Dove
2711 N Duke St |
$24.68 | 6,150 | 5,467 |
|
Ferdinand Vincent Allison
6208 Fayetteville Rd |
$26.00 | 6,012 | 5,628 |
|
Zhongfei Liang
1301 Fayetteville St |
$31.04 | 5,200 | 4,903 |
|
Matthew Hyun Yong Lee
3500 N Duke St |
$30.97 | 4,199 | 3,816 |
|
Laurent Pilon
2741 Campus Walk Ave Bldg 300 |
$28.19 | 3,864 | 3,774 |
|
Li Qian
3811 N Roxboro St |
$29.75 | 3,849 | 3,510 |
|
Dennis Sang Chang
3901 N Roxboro St Ste 111 |
$27.42 | 3,806 | 3,495 |
|
Pratik Vinodkumar Gupta
202 W Nc Highway 54 Ste 201 |
$36.52 | 3,444 | 3,369 |
|
Farzana Rahman
6208 Fayetteville Rd Ste 105 |
$29.63 | 3,387 | 3,196 |
|
Santa Maria Mckibbins
1413 W Nc Highway 54 |
$26.39 | 2,626 | 2,417 |
|
James L Pyle
818 Broad St |
$32.82 | 2,612 | 2,520 |
|
Michael R Day
414 E Main St |
$29.42 | 2,192 | 2,166 |
|
Janier Patrice Barton
1822 E Nc Highway 54 Ste 100 |
$28.56 | 2,152 | 2,039 |
|
Zara Monique, Ledsie Wilkinson
3823 Guess Rd |
$29.47 | 2,093 | 2,009 |
|
Marshall Alexander Fleming
1020 Broad St |
$33.35 | 1,977 | 1,941 |
|
Jason A Pate
415 Dunstan Ave |
$30.86 | 1,780 | 1,740 |
|
Johanna Lerzundy
12 Grosbeak Ln |
$26.67 | 1,614 | 1,603 |
|
Elizabeth Landolfo
2100 Erwin Rd |
$33.66 | 1,592 | 1,471 |
|
Yvette E Thompson
3115 Academy Rd |
$27.87 | 1,588 | 1,536 |
|
Michael Angelo Thomas
1822 E Nc Highway 54 Ste 100 |
$27.80 | 1,562 | 1,501 |
|
David M Lambert
5015 Southpark Dr Ste 120 |
$31.46 | 1,438 | 1,259 |
|
Mayada Khidr
4201 University Dr Ste 109 |
$30.45 | 1,378 | 1,322 |
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 Durham, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Durham, NC is $29.86 per claim, based on 790,132 claims from 161 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 Durham, NC?
There are 161 Medicaid providers offering Dental Cleaning & Exam related services in Durham, NC according to public payment data.
What is the price range for Dental Cleaning & Exam in Durham, NC?
Medicaid reimbursement for Dental Cleaning & Exam in Durham, NC ranges from $0.00 to $69.72 per claim, with an average of $29.86. 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 Durham, NC
Office Visit
Avg $53.48
1,229,002 claims
Substance Abuse Treatment
Avg $122.82
746,211 claims
X-Ray
Avg $5.74
576,677 claims
Blood Work & Lab Tests
Avg $13.80
572,218 claims
Speech Therapy
Avg $57.51
491,949 claims
Psychiatric Evaluation
Avg $65.37
472,359 claims
Emergency Room Visit
Avg $105.90
448,598 claims
Vaccines & Immunizations
Avg $15.02
377,320 claims