Average Medicaid Dental Cleaning & Exam Payments in Edinburg, TX: $43.69
Avg. Paid
$43.69
Range
$18.65 – $51.56
Total Claims
427,789
Providers
52
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 Edinburg, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hien Phu Nguyen
307 E University Dr |
$46.27 | 60,849 | 60,667 |
|
Jimmy Nguyen
307 E University Dr |
$46.34 | 48,450 | 48,337 |
|
Thomas Michael Lewis
307 E University Dr |
$45.99 | 41,569 | 41,427 |
|
Omar Salinas Vela
1156 W Monte Cristo Rd |
$47.19 | 25,287 | 25,185 |
|
Peng-Han Li
2514 W Freddy Gonzalez Dr Ste 1 |
$42.26 | 24,345 | 24,047 |
|
Jae Hee Kim
307 E University Dr |
$45.48 | 20,749 | 20,453 |
|
Henry Tran
307 E University Dr |
$47.70 | 20,295 | 20,103 |
|
Mohammed Ahmed Subhani
1601 W Trenton Rd |
$47.29 | 15,523 | 15,333 |
|
Anna Laurene De Leon
281 E Trenton Rd |
$47.85 | 14,413 | 14,147 |
|
Laura Elizabeth Mego
2708 Cornerstone Blvd |
$45.70 | 13,154 | 12,973 |
|
Sergio Enrique Lopez
1507 S Mccoll Rd |
$46.85 | 12,722 | 12,598 |
|
Krystle Garza
Smile Station Pediatric Dentistry |
$43.36 | 11,944 | 11,788 |
|
Andrea Vargas-Garcia
1507 S. Mccoll Rd |
$51.56 | 11,604 | 11,485 |
|
Miguel Elias Mego
2525 W. Trenton Rd. |
$38.14 | 11,024 | 10,931 |
|
David Gray
4502 S Mccoll Rd |
$34.70 | 8,744 | 8,491 |
|
Vladislav Viktorovich Loshkarev
2708 Cornerstone Blvd |
$37.17 | 8,121 | 7,931 |
|
Sul Ki Yi
206 W Mahl St |
$41.95 | 7,953 | 7,878 |
|
Maritza Chavez
4733 S Jackson Rd |
$43.36 | 6,621 | 6,505 |
|
Rohit F Ummer
206 W Mahl St |
$36.53 | 6,529 | 6,482 |
|
Eutiquio M Elizondo
100 E Ebony Lane |
$36.44 | 4,700 | 4,556 |
|
Alper Coban
2708 Cornerstone Blvd |
$40.46 | 4,655 | 4,551 |
|
Niknam Bagheri
4502 S Mccoll Rd |
$34.93 | 3,836 | 3,627 |
|
Wilmer Paul Orjuela
1560 E Canton Rd Ste G |
$18.97 | 3,661 | 3,553 |
|
Gerardo Athanasi Orfanos
4167 Crosspoint Blvd |
$46.78 | 3,530 | 3,310 |
|
Patrick B Wilcox
2501 Cornerstone Blvd |
$38.69 | 3,230 | 3,155 |
|
Carlos Cruz
2405 Cornerstone Blvd |
$18.65 | 3,153 | 3,014 |
|
Whitney Jo Ann Rochelle
1560 E Canton Rd Ste G |
$20.05 | 3,110 | 3,028 |
|
Waleed S Al-Hassan
518 S Closner Blvd |
$33.64 | 3,005 | 2,787 |
|
Carla Ida Castaneda
2707 W Trenton Rd |
$34.03 | 2,837 | 2,729 |
|
Marko Everardo Alanis
3525 W Freddy Gonzalez Drive |
$36.37 | 2,758 | 2,727 |
|
Ana Elena Tijerina Lomeli
2501 Cornerstone Blvd |
$36.03 | 2,628 | 2,617 |
|
Yuen Keung Lee
3802 S Us Highway 281 |
$35.58 | 2,484 | 2,435 |
|
Rafael F Carrales
1116 S 10Th Ave |
$36.45 | 1,855 | 1,815 |
|
Francisco M Perez
4728 S Jackson Rd |
$32.97 | 1,686 | 1,646 |
|
Ricardo A. Vasquez
4853 S Jackson Rd |
$29.90 | 1,372 | 1,285 |
|
David Isaac Longoria
212 Remington Ave |
$29.98 | 1,232 | 1,143 |
|
Farha Mohamed
1601 W Trenton Rd Ste J |
$34.67 | 1,171 | 1,113 |
|
Jack Kalloch
307 E University Dr |
$48.32 | 1,040 | 1,038 |
|
Natalie Mabel Rodriguez
307 E University Dr |
$45.03 | 873 | 873 |
|
Beatriz Leyva
307 E University Dr |
$48.43 | 710 | 710 |
|
John G Rodriguez
2939 Regency Dr |
$32.55 | 698 | 683 |
|
Jose Luis Padilla
4451 S Jackson Rd Ste B |
$33.00 | 697 | 653 |
|
Anacristina Chapa
1123 S 10Th Ave |
$29.49 | 509 | 440 |
|
Saman Balajelini
518 S. Closner Blvd. |
$33.85 | 440 | 428 |
|
Eberechukwu Iheanacho
2939 Regency Dr |
$34.79 | 433 | 421 |
|
Monica Cordova
3004 N Closner Blvd |
$30.28 | 417 | 404 |
|
Joseph Michael Adame
206 W Mahl |
$40.60 | 356 | 352 |
|
David Elizondo
2707 W Trenton Rd |
$32.30 | 294 | 276 |
|
Shahrouz Akhavan
522 East University Drive |
$33.15 | 227 | 227 |
|
Cynthia Garcia Longoria
212 Remington Ave |
$28.62 | 148 | 141 |
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 Edinburg, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Edinburg, TX is $43.69 per claim, based on 427,789 claims from 52 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 Edinburg, TX?
There are 52 Medicaid providers offering Dental Cleaning & Exam related services in Edinburg, TX according to public payment data.
What is the price range for Dental Cleaning & Exam in Edinburg, TX?
Medicaid reimbursement for Dental Cleaning & Exam in Edinburg, TX ranges from $18.65 to $51.56 per claim, with an average of $43.69. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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Avg $29.76
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