Average Medicaid Dental Cleaning & Exam Payments in Fairmont, WV: $33.32
Avg. Paid
$33.32
Range
$17.34 – $41.46
Total Claims
40,595
Providers
17
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 Fairmont, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Drs Wilson And Martino Of Fairmont, Pllc
403 Virginia Ave |
$39.06 | 12,466 | 11,975 |
|
Linda Lou Ray
2012 Pleasant Valley Rd |
$31.09 | 9,926 | 8,499 |
|
Linda L. Ray,Dds And William A. Ray, Ii, Dds, Pllc
2012 Pleasant Valley Rd |
$24.90 | 5,036 | 3,205 |
|
Casey Helene Currey
403 Virginia Ave |
$27.53 | 3,910 | 3,742 |
|
Laura Elizabeth Withers-Boyles
301 Market St |
$33.23 | 1,892 | 1,675 |
|
Laura Withers-Boyles, Dds, Pllc
301 Market St |
$37.52 | 1,635 | 1,606 |
|
Matthew Michael Kime
100 Greenbrier Plaza |
$35.04 | 1,594 | 1,341 |
|
Drs Bonasso And Kime Pllc
100 Greenbrier Plaza |
$38.34 | 1,264 | 1,229 |
|
Glenn A. Boyles, Dds, Ms, Pllc
301 Market St |
$36.50 | 873 | 852 |
|
Glenn Alan Boyles
301 Market St |
$34.31 | 754 | 651 |
|
Douglas Clark Hannah
1520 Country Club Rd |
$27.03 | 638 | 511 |
|
Ray Family Dentistry, Pllc
2012 Pleasant Valley Rd |
$37.22 | 368 | 357 |
|
Franklin David Bonasso
100 Greenbrier Plaza |
$41.46 | 89 | 88 |
|
Heather Jean Ayers
189 Circle Dr |
$20.41 | 57 | 40 |
|
Annatram Ngoc Do
403 Virginia Ave |
$17.34 | 54 | 51 |
|
Timothy Ray
2012 Pleasant Valley Rd |
$20.25 | 26 | 25 |
|
Cynthia Leah Bonafield
907 Gaston Ave |
$35.00 | 13 | 13 |
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 Fairmont, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Fairmont, WV is $33.32 per claim, based on 40,595 claims from 17 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 Fairmont, WV?
There are 17 Medicaid providers offering Dental Cleaning & Exam related services in Fairmont, WV according to public payment data.
What is the price range for Dental Cleaning & Exam in Fairmont, WV?
Medicaid reimbursement for Dental Cleaning & Exam in Fairmont, WV ranges from $17.34 to $41.46 per claim, with an average of $33.32. 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
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
3,240,448 claims · 723 providers
Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
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