Average Medicaid Dental Cleaning & Exam Payments in Encinitas, CA: $52.40
Avg. Paid
$52.40
Range
$4.65 – $95.41
Total Claims
91,478
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 Encinitas, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Huh
1340 Encinitas Blvd Ste 100 |
$48.00 | 13 | 13 |
|
Richard John Tannyhill
836 2Nd St |
$30.00 | 29 | 29 |
|
Brian Haymore
321 A St |
$66.00 | 31 | 31 |
|
Stephen Allen Craft
274 N El Camino Real |
$68.65 | 43 | 40 |
|
Tuan Minh Nguyen
473 Encinitas Blvd |
$38.64 | 44 | 44 |
|
Gelareh Asadi
285 N El Camino Real Ste 112 |
$67.69 | 110 | 110 |
|
Affaf Ismail
1445 Encinitas Blvd |
$56.88 | 312 | 312 |
|
Leeann Wanda Kardosh
531 Encinitas Blvd Ste 101 |
$4.65 | 627 | 605 |
|
Irineo Marvin Pantangco
317 N El Camino Real |
$48.15 | 688 | 686 |
|
Humara Rashid Parray
415 Santa Fe Dr |
$54.52 | 1,155 | 1,155 |
|
Caroll Le
740 Garden View Ct Ste 215 |
$39.77 | 1,726 | 1,720 |
|
Carlos Roberto Chong
169 Saxony Rd Ste 110 |
$51.05 | 2,745 | 2,733 |
|
Ali Shahrokh
207 S El Camino Real Ste D |
$48.67 | 2,982 | 2,965 |
|
Richard James Gill
285 N El Camino Real |
$74.16 | 3,925 | 3,904 |
|
Toni B. Georgiades, Dds, Apc
317 N El Camino Real Ste 406 |
$95.41 | 4,442 | 4,325 |
|
Avi Willis
135 Saxony Rd |
$47.28 | 20,206 | 20,175 |
|
Toni Bassili Georgiades
4407 Manchester Ave Ste 208 |
$74.31 | 23,599 | 23,572 |
|
Brian Hatch
761 Garden View Ct Ste 100 |
$30.65 | 28,801 | 28,713 |
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 Encinitas, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Encinitas, CA is $52.40 per claim, based on 91,478 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 Encinitas, CA?
There are 18 Medicaid providers offering Dental Cleaning & Exam related services in Encinitas, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in Encinitas, CA?
Medicaid reimbursement for Dental Cleaning & Exam in Encinitas, CA ranges from $4.65 to $95.41 per claim, with an average of $52.40. 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 Encinitas, CA
Office Visit
Avg $36.24
138,192 claims
Emergency Room Visit
Avg $74.39
80,635 claims
Blood Work & Lab Tests
Avg $11.91
70,529 claims
Physical Therapy
Avg $26.10
47,098 claims
EKG / ECG (Electrocardiogram)
Avg $14.71
38,175 claims
Eye Exam
Avg $18.83
30,389 claims
Urinalysis & Urine Tests
Avg $4.08
18,780 claims
Psychiatric Evaluation
Avg $16.12
18,213 claims