Average Medicaid Dental Cleaning & Exam Payments in Fort Worth, TX: $40.51
Avg. Paid
$40.51
Range
$0.90 – $417.01
Total Claims
661,534
Providers
163
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 Fort Worth, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Liem Nguyen
5228 Sycamore School Rd Ste 108 |
$35.32 | 12 | 12 |
|
Earl Mitchell
1511 E Berry St |
$26.21 | 12 | 12 |
|
Qian Amy Qian
9701 Harmon Rd |
$28.85 | 13 | 13 |
|
Namma Shakeel
12584 N Beach St Ste 150 |
$28.85 | 13 | 13 |
|
Jee Eun Naomi Chew
100 E 15Th St Ste 520 |
$36.75 | 13 | 13 |
|
Nathan Nussenbaum
8008 Camp Bowie Blvd W |
$9.61 | 15 | 15 |
|
Jeremy Michael Unger
9525 N. Beach St. |
$28.85 | 17 | 17 |
|
Aadil Iqbal
4200 South Fwy Ste 2 |
$15.46 | 28 | 17 |
|
Tong Wook Kim
4160 Heritage Trace Pkwy |
$14.07 | 29 | 25 |
|
Jacob Clifford Abbott
8461 Boat Club Rd |
$31.25 | 39 | 37 |
|
Pooneh Najafi
3980 Boat Club Rd |
$29.78 | 43 | 43 |
|
Daybreak Community Services Texas Llc
4150 International Plz Ste 820 |
$417.01 | 46 | 44 |
|
Raymond Patrick Shupak
1500 South Main Street Jps Hospital |
$20.03 | 50 | 50 |
|
Omar Alswaiti
1129 Green Oaks Rd |
$15.50 | 51 | 35 |
|
Kacey Mahoney
5252 Golden Triangle Blvd |
$17.22 | 53 | 49 |
|
Jong Keun Oh
1124 S Lake St Ste C |
$22.87 | 57 | 57 |
|
Francis T. Hoang
5421 Basswood Blvd |
$30.72 | 58 | 58 |
|
Sy Dan Nguyen
2815 Azle Ave |
$22.85 | 62 | 59 |
|
Andrew M Jamison
4200 Bryant Irvin Rd |
$14.43 | 64 | 56 |
|
Tu Kim Nguyen
6302 Meadowbrook Dr |
$24.22 | 66 | 60 |
|
Layth Layth
115 W Seminary Dr Ste 101 |
$39.73 | 69 | 69 |
|
Silas Po Kwong Lai
4701 Bryant Irvin Rd N |
$1.07 | 73 | 73 |
|
Eunjin M Suh
5416 Basswood Blvd |
$28.31 | 75 | 74 |
|
Cynthia Sin-Ae Kwon
6426 Meadowbrook Dr |
$30.05 | 83 | 83 |
|
Trisha Patel
4541 Heritage Trace Pkwy Ste 1301 |
$30.01 | 87 | 79 |
|
Sara Rikli Cain
8461 Boat Club Rd |
$26.80 | 88 | 86 |
|
Anthony Y Yoon
2717 8Th Ave |
$32.85 | 89 | 87 |
|
Rosa Virginia Osteicoechea R
4201 E Berry St |
$32.49 | 104 | 104 |
|
Lubna Joseph
6250 Rufe Snow Dr |
$30.05 | 106 | 106 |
|
Sarah Schwartz
639 Alta Mere Dr |
$37.68 | 107 | 105 |
|
Kevin Kalusha
2101 Handley Dr |
$30.20 | 116 | 116 |
|
Duyen M Tran
2417 Park Hill Dr |
$31.87 | 126 | 121 |
|
Omar Alassaf
9716 Blue Mound Rd |
$26.87 | 147 | 137 |
|
Xiang Hu
8615 S Hulen St Ste 113 |
$30.50 | 168 | 161 |
|
Luciana Ramirez
1711 Doolittle Ave |
$10.20 | 181 | 177 |
|
Jonathan Song
115 W Seminary Dr |
$58.99 | 193 | 193 |
|
Mike Mooyul Leem
6000 Camp Bowie Blvd |
$25.18 | 198 | 194 |
|
Garrett Rist
9117 Sagewood Dr Apt 3313 |
$39.40 | 214 | 213 |
|
Victoria Nguyen
9604 Ten Gallon Dr |
$26.68 | 232 | 227 |
|
Nina Hatami
220 E Seminary Dr Ste 100 |
$33.58 | 241 | 236 |
|
Meha Patel
5917 Fairglen Ave Apt 619 |
$30.42 | 254 | 243 |
|
Jessica Yeager
7630 N Beach St Ste 130 |
$37.13 | 279 | 279 |
|
Todd Wentland
1500 S Main St |
$17.84 | 293 | 284 |
|
Jamie J Chung
6426 Meadowbrook Dr |
$27.72 | 300 | 289 |
|
Krystal Heaton Moore
1818 8Th Ave |
$32.49 | 347 | 343 |
|
Surinderpal Singh
7410 Mccart Ave Ste 100 |
$26.48 | 359 | 344 |
|
Haiduong H Nguyen
4625 Boat Club Rd |
$33.24 | 390 | 366 |
|
Rasmi Paturu
2800 8Th Ave |
$26.76 | 390 | 358 |
|
Alhakem Adel Almafrachi
9045 Camber Ln Apt 3222 |
$31.65 | 410 | 386 |
|
Roderick Youngdo Kim
1500 S Main St Dept Of |
$23.12 | 412 | 403 |
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 Fort Worth, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Fort Worth, TX is $40.51 per claim, based on 661,534 claims from 163 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 Fort Worth, TX?
There are 163 Medicaid providers offering Dental Cleaning & Exam related services in Fort Worth, TX according to public payment data.
What is the price range for Dental Cleaning & Exam in Fort Worth, TX?
Medicaid reimbursement for Dental Cleaning & Exam in Fort Worth, TX ranges from $0.90 to $417.01 per claim, with an average of $40.51. 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 Fort Worth, TX
Office Visit
Avg $52.71
2,341,902 claims
Vaccines & Immunizations
Avg $5.83
1,567,560 claims
Emergency Room Visit
Avg $219.10
1,524,539 claims
Blood Work & Lab Tests
Avg $7.15
1,050,378 claims
X-Ray
Avg $9.73
940,197 claims
Urinalysis & Urine Tests
Avg $4.34
393,896 claims
Ultrasound
Avg $58.37
255,075 claims
CT Scan (Computed Tomography)
Avg $46.39
204,845 claims