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 |
|---|---|---|---|
|
Carol D. Burk
2609 N Duke St |
$3.17 | 12 | 12 |
|
Dean Miner
4020 N Roxboro St |
$34.84 | 12 | 12 |
|
Deborah Linda Owusu
1301 Fayetteville St |
$30.98 | 13 | 12 |
|
Martha Ellen Gagliano
2609 N Duke St |
$38.01 | 13 | 13 |
|
Jeanna J Bateson
2100 Erwin Rd |
$38.79 | 13 | 13 |
|
Steven Wasserman
7011 Fayetteville Rd Ste 210 |
$35.09 | 13 | 13 |
|
Franklin Trent Beeninga
2609 N Duke St Ste 1000 |
$38.01 | 13 | 13 |
|
Anna Ruderman
4022 Freedom Lake Dr |
$38.01 | 13 | 13 |
|
Susan Owens
2100 Erwin Rd |
$31.89 | 13 | 13 |
|
James M Troutman
2609 N Duke St Ste 1000 |
$39.91 | 13 | 13 |
|
Aman Masoomi
3823 Guess Rd Ste P |
$25.64 | 14 | 13 |
|
Ryan Taylor Gross
3500 N Duke St |
$28.10 | 14 | 14 |
|
Julie Sage Weber Childers
2301 Erwin Rd |
$38.01 | 15 | 12 |
|
Alison Scott Kavanaugh
7011 Fayetteville Rd Ste 210 |
$38.01 | 15 | 15 |
|
Amy Taborn Farrar
7010 Nc Highway 751 |
$21.57 | 15 | 12 |
|
Mary Veronica Coffey Gaddis
2003 E Nc Highway 54 |
$20.22 | 16 | 12 |
|
Vicki Marie Houck
110 Castlebar Ln |
$35.03 | 16 | 16 |
|
Alexander Christopher Allori
200 Trent Dr. At Erwin Rd. |
$0.00 | 18 | 12 |
|
Anna Kihm Mcilwain
2221 Charlotte St |
$42.70 | 19 | 19 |
|
Nancy Adalyn Wilson Westmark
40 Duke Medicine Circle |
$61.64 | 20 | 17 |
|
Jessica Catherine Schwartz
2301 Erwin Rd |
$36.35 | 25 | 25 |
|
Kenneth Wayne Jordan
2100 Erwin Rd |
$35.64 | 26 | 14 |
|
Jeffrey Greene
2609 N Duke St |
$37.42 | 26 | 26 |
|
Edward Evans
2100 Erwin Rd |
$38.22 | 26 | 26 |
|
Vivian Onsy Makar
4022 Freedom Lake Dr |
$23.67 | 27 | 27 |
|
Harriett Purves Burns
3116 N Duke St |
$36.78 | 27 | 26 |
|
May Kuo Slowik
4101 N Roxboro St |
$17.65 | 28 | 28 |
|
William Church
2711 N Duke St Ste B |
$41.95 | 28 | 28 |
|
Charles Wood
4020 N Roxboro St |
$33.76 | 37 | 27 |
|
Mya Deboer Sendak
2609 N Duke St Ste 1000 |
$33.01 | 38 | 37 |
|
Ursula Tomika White
40 Duke Medicine Cir # 2D |
$37.49 | 41 | 41 |
|
Tracy J. Waters, Dds., Pa
4210 N Roxboro St |
$0.00 | 42 | 42 |
|
Jeffrey Baker
2100 Erwin Rd |
$32.58 | 42 | 39 |
|
Sara Page
2100 Erwin Rd |
$19.85 | 47 | 47 |
|
Alicia Tsai
508 Fulton St # 160 |
$27.79 | 47 | 47 |
|
Katharine Ciarrocca
40 Medicine Circle |
$55.71 | 51 | 38 |
|
Christopher William Prater
3116 N Duke St |
$34.14 | 59 | 56 |
|
Oveta B Mcintosh-Vick
1301 Fayetteville St |
$32.25 | 60 | 57 |
|
Huyen-Chau Vu Dunn
5318 Nc Highway 55 Ste 106 |
$58.95 | 63 | 57 |
|
Sindhura Citineni, Dds, Pa
3115 Academy Rd |
$0.00 | 67 | 67 |
|
Barbara Hershey
3206 Old Chapel Hill Rd |
$43.86 | 67 | 64 |
|
Aimee Byonghee Chung
2100 Erwin Rd |
$30.05 | 69 | 59 |
|
Shelby Justin Sama
103 Baccalaureate Blvd |
$36.08 | 74 | 73 |
|
Sophie Kay Shaikh
2301 Erwin Rd |
$28.05 | 85 | 85 |
|
Amy Moon
234 Crooked Creek Pwky |
$29.61 | 86 | 67 |
|
Sarah P Germana
2100 Erwin Rd |
$36.13 | 87 | 74 |
|
Matthew S Johnson
3732 N Roxboro St |
$29.11 | 91 | 88 |
|
Lisa Ferrari
2609 N Duke St Ste 1000 |
$36.25 | 95 | 85 |
|
Lashawn Jenay Hart
3219 Watkins Rd Ste 103 |
$36.57 | 108 | 106 |
|
Daniel Levy Bercowski
3475 Erwin Rd |
$43.67 | 111 | 107 |
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