Average Medicaid Dental Cleaning & Exam Payments in Fairfax, VA: $25.61
Avg. Paid
$25.61
Range
$0.00 – $49.59
Total Claims
167,885
Providers
59
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 Fairfax, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chi Whan Chung
3611 Chain Bridge Rd Ste B |
$26.20 | 12 | 12 |
|
Tingting Zhu Freed
3613 Chain Bridge Rd |
$26.20 | 13 | 13 |
|
Lida Maria Vargas
3911 Old Lee Hwy |
$20.15 | 24 | 24 |
|
Jennifer Kim
3903 Fair Ridge Dr Ste 212 |
$25.68 | 29 | 29 |
|
Mehran Ariani
10721 Main St Ste 300 |
$20.87 | 36 | 36 |
|
Laura Yoomee Ki
4001 Fair Ridge Dr |
$10.19 | 38 | 38 |
|
Layth Hamid
9661 Main St |
$0.00 | 59 | 59 |
|
Ignacio Blasi Beriain
3224 Cambridge Ct |
$23.81 | 73 | 73 |
|
Ryan Javier
11001 Lee Hwy Ste A |
$21.94 | 86 | 86 |
|
Jangyeul Yoon
10807 Main St Ste 200 |
$38.08 | 189 | 188 |
|
Hang Thanh Le
3930 Pender Dr |
$34.12 | 190 | 181 |
|
Susan Le Luong
3077 Nutley St |
$0.00 | 201 | 165 |
|
Johnny Kwan Nam
9561 Braddock Rd |
$35.66 | 202 | 200 |
|
Milan Simanek
10611 Judicial Dr |
$21.20 | 244 | 242 |
|
Kathy L Le
3966 Bradwater St |
$25.67 | 252 | 247 |
|
Charles Hee Yong Park
4290 Chain Bridge Rd Ste 202 |
$37.72 | 281 | 260 |
|
Mohammad Moien Monzavi
12011 Lee Jackson Memorial Hwy Ste 105 |
$0.00 | 282 | 282 |
|
Nathan Chong
9428 Main St |
$24.32 | 334 | 333 |
|
Fan Yu
4001 Fair Ridge Dr Ste 105 |
$27.85 | 389 | 377 |
|
Tamer N. Elhady
3050 Chain Bridge Rd Ste 201 |
$29.31 | 410 | 410 |
|
Hannah H Lee
4812 Treasure Ct |
$23.04 | 489 | 489 |
|
Vandana Sethi
4103 Chain Bridge Rd Ste Ll100 |
$25.47 | 501 | 497 |
|
Carla Milagritos Zamora Rojas
3903 Fair Ridge Dr |
$29.83 | 510 | 506 |
|
Quang Ngoc Huy Tran
8626 Lee Hwy |
$20.13 | 514 | 514 |
|
Charles Douglas Kirksey
10611 Judicial Dr |
$12.74 | 568 | 566 |
|
Brandon Khoi Tran
9671D Main St |
$13.84 | 596 | 587 |
|
Samon Nazemian
3700 Joseph Siewick Dr |
$28.77 | 685 | 677 |
|
Aditi Kirpal Dham
13203 Franklin View Ct |
$16.41 | 816 | 806 |
|
Quyen Dang
8303 Arlington Blvd Ste 107 |
$22.29 | 832 | 829 |
|
Chuck C Joo
12011 Lee Jackson Memorial Hwy |
$18.84 | 936 | 592 |
|
Samer G Jarwa
9901 Braddock Rd |
$14.07 | 947 | 929 |
|
Nantadla Z Abinader
8301 Arlington Blvd Suite T#1 |
$23.68 | 960 | 932 |
|
Bichlan Thi Nguyen
9671 Main St |
$19.17 | 962 | 938 |
|
Dominique Bonner
9547A Fairfax Blvd |
$49.59 | 1,018 | 1,006 |
|
Siu Hsu
10801 Main St |
$22.63 | 1,018 | 1,012 |
|
Benzon Hamilton Huynh
3613 Chain Bridge Rd |
$25.58 | 1,086 | 1,085 |
|
Thiago De Oliveira Matias
11150 Fairfax Blvd |
$29.04 | 1,172 | 1,172 |
|
Ashley Dinh
9661 Main St |
$39.68 | 1,520 | 1,520 |
|
Manmeet Kour
3903 Fair Ridge Dr Ste 207 |
$42.31 | 1,526 | 1,509 |
|
Tehreem Butt
10391 Democracy Ln |
$23.20 | 1,543 | 1,511 |
|
Joshua Fein
3025 Hamaker Ct Ste 320 |
$17.29 | 1,879 | 1,640 |
|
Sunna Bashir
9901 Fairfax Blvd |
$0.00 | 2,160 | 2,160 |
|
Patrick R Friend
10530 Rosehaven St Ste 111 |
$37.22 | 2,341 | 2,340 |
|
Heidi Ostreng Vatanka
8505 Arlington Blvd |
$22.36 | 3,030 | 3,024 |
|
Duy-Man Le Phan
9526 A Lee Hwy. |
$24.29 | 3,201 | 3,192 |
|
Nickie Rose Bastani
3700 Joseph Siewick Dr Ste 104 |
$21.05 | 3,344 | 3,309 |
|
Gina Genevia Askander
2810 Old Lee Hwy Ste 200A |
$26.57 | 3,547 | 3,490 |
|
Touraj Kamali
10611 Judicial Dr |
$23.21 | 3,900 | 3,691 |
|
Farida Gul Khattak
9439 Lee Hwy |
$20.04 | 3,975 | 3,871 |
|
Ana Maria Cujar
5406 Riverboat Way |
$25.42 | 4,424 | 4,279 |
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 Fairfax, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Fairfax, VA is $25.61 per claim, based on 167,885 claims from 59 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 Fairfax, VA?
There are 59 Medicaid providers offering Dental Cleaning & Exam related services in Fairfax, VA according to public payment data.
What is the price range for Dental Cleaning & Exam in Fairfax, VA?
Medicaid reimbursement for Dental Cleaning & Exam in Fairfax, VA ranges from $0.00 to $49.59 per claim, with an average of $25.61. 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
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Avg $158.57
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Avg $56.44
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Avg $4.75
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Avg $7.28
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Avg $261.43
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Avg $43.79
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Avg $34.88
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