Average Medicaid Dental Cleaning & Exam Payments in Gallatin, TN: $30.26
Avg. Paid
$30.26
Range
$10.74 – $36.60
Total Claims
153,814
Providers
12
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 Gallatin, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Andrew Reed
1710 Nashville Pike |
$28.88 | 46,883 | 45,871 |
|
Samantha Jo Kelly
1710 Nashville Pike # 102 |
$28.02 | 29,457 | 27,760 |
|
Tyler Fielding Mccubbins
124 Goodview Way Ste B |
$36.60 | 25,172 | 25,016 |
|
Jonathan David Shadburne
124 Goodview Way Ste B |
$29.36 | 19,185 | 18,710 |
|
Eric Basta
1007 Nashville Pike Ste 100 |
$30.39 | 10,634 | 9,948 |
|
Rodney Dean Runyon
614 Commons Dr |
$31.96 | 9,076 | 8,896 |
|
Bora Kim
1019 Beaty Blvd Ste 600 |
$28.37 | 8,067 | 7,771 |
|
Cameron Keith Spaulding
614 Commons Dr |
$33.19 | 1,938 | 1,891 |
|
Ian Robert Stewart
923 Nashville Pike Ste A |
$30.53 | 1,509 | 1,463 |
|
Laney Elayne Schuman-Boys
207 Maharris Dr Ste G |
$19.56 | 1,342 | 1,340 |
|
Kadene Kimani Falconer
651 Pace St |
$25.86 | 373 | 356 |
|
Ryan Shinska
1101 Nashville Pike Ste 110 |
$10.74 | 178 | 74 |
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 Gallatin, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Gallatin, TN is $30.26 per claim, based on 153,814 claims from 12 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 Gallatin, TN?
There are 12 Medicaid providers offering Dental Cleaning & Exam related services in Gallatin, TN according to public payment data.
What is the price range for Dental Cleaning & Exam in Gallatin, TN?
Medicaid reimbursement for Dental Cleaning & Exam in Gallatin, TN ranges from $10.74 to $36.60 per claim, with an average of $30.26. 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
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Houston, TX
Avg $39.95
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
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Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
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Avg $40.54
388,382 claims
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Avg $18.16
126,457 claims
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Avg $100.84
101,829 claims
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Avg $3.76
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Avg $50.71
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Avg $70.81
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Avg $10.56
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Avg $21.85
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