Average Medicaid Dental Cleaning & Exam Payments in Gardendale, AL: $24.21
Avg. Paid
$24.21
Range
$18.86 – $30.04
Total Claims
81,354
Providers
11
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 Gardendale, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Monica Caplash
425 Decatur Hwy |
$24.09 | 35,740 | 34,531 |
|
Amy T Parvin
925 Sharit Ave |
$22.95 | 21,520 | 20,606 |
|
Carol Ann Nicrosi
1324 Main St |
$23.32 | 11,126 | 10,770 |
|
Children And Teen Dental Group Of Alabama
323 Fieldstown Rd Ste 101 |
$25.85 | 6,284 | 6,066 |
|
North Jefferson Pediatric Dentistry, Llc
925 Sharit Ave |
$30.04 | 5,453 | 5,379 |
|
Carol Ann D. Nicrosi Dmd, Ms, Pc
1324 Main St |
$25.54 | 545 | 530 |
|
Kathryn J Hoar
1324 Main St |
$21.45 | 505 | 501 |
|
Robert Terrell Underwood
1038 Mt. Olive Road |
$21.00 | 66 | 63 |
|
Jennifer Reaves
1603 Decatur Hwy |
$26.55 | 58 | 57 |
|
Nathalie G Courington
210 Fieldstown Rd Ste 120 |
$20.60 | 43 | 42 |
|
Cheri W Cunningham Dmd
907 Main St |
$18.86 | 14 | 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 Gardendale, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Gardendale, AL is $24.21 per claim, based on 81,354 claims from 11 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 Gardendale, AL?
There are 11 Medicaid providers offering Dental Cleaning & Exam related services in Gardendale, AL according to public payment data.
What is the price range for Dental Cleaning & Exam in Gardendale, AL?
Medicaid reimbursement for Dental Cleaning & Exam in Gardendale, AL ranges from $18.86 to $30.04 per claim, with an average of $24.21. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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Avg $29.76
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Chicago, IL
Avg $29.66
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Los Angeles, CA
Avg $49.60
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Houston, TX
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
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Avg $40.74
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Other Procedures in Gardendale, AL
Nursing Facility Care
Avg $23.44
145,920 claims
Office Visit
Avg $47.12
35,314 claims
Physical Therapy
Avg $23.98
30,774 claims
Eye Exam
Avg $30.70
9,503 claims
Dental Filling
Avg $72.94
7,872 claims
Vaccines & Immunizations
Avg $8.07
6,517 claims
Psychiatric Evaluation
Avg $7.06
4,860 claims
EKG / ECG (Electrocardiogram)
Avg $7.84
2,677 claims