Average Medicaid Dental Cleaning & Exam Payments in Isabela, PR: $19.93
Avg. Paid
$19.93
Range
$15.77 – $37.23
Total Claims
102,370
Providers
13
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 Isabela, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Isaac Ramon Calero
108 Calle Roman |
$20.05 | 25,936 | 23,456 |
|
Julia Margarita Juarbe
Carr. 474 Km 1.9 |
$18.57 | 17,891 | 16,255 |
|
Javier Angueira-Abreu
2981 Ave Militar Ste 1 |
$22.38 | 14,769 | 10,922 |
|
Jose Manuel Bachier
36 Calle Barbosa |
$18.75 | 13,246 | 12,048 |
|
Aitsa Diaz Santos
2981 Ave Militar Ste 1 |
$16.09 | 8,803 | 8,071 |
|
Julio David Rios Rosa
Ave. Juan Hernandez Ortiz |
$18.50 | 7,705 | 7,353 |
|
Miguel Angel Frontera-Philippi
1356 Ave Felix Aldarondo Santiago |
$37.23 | 4,015 | 3,743 |
|
Ednil Montanez
Otero Altos 52 |
$16.42 | 3,886 | 3,619 |
|
Demetrio J Lamela
36 Calle Barbosa |
$15.80 | 3,184 | 2,589 |
|
J&Adentalpsc
2981 Ave Militar Ste 1 |
$23.20 | 1,910 | 1,471 |
|
Jose Manuel Loyola
#6 Jesus T. Pinero St. |
$15.77 | 727 | 676 |
|
Maria Jose Velez
#6 Jesus T. Pinero Street |
$17.47 | 246 | 214 |
|
Isabela Dental Clinic
Ave. Juan Hernandez Ortiz |
$22.48 | 52 | 43 |
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 Isabela, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Isabela, PR is $19.93 per claim, based on 102,370 claims from 13 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 Isabela, PR?
There are 13 Medicaid providers offering Dental Cleaning & Exam related services in Isabela, PR according to public payment data.
What is the price range for Dental Cleaning & Exam in Isabela, PR?
Medicaid reimbursement for Dental Cleaning & Exam in Isabela, PR ranges from $15.77 to $37.23 per claim, with an average of $19.93. 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 Isabela, PR
Blood Work & Lab Tests
Avg $10.08
207,097 claims
Office Visit
Avg $1.26
201,625 claims
Vaccines & Immunizations
Avg $5.89
55,834 claims
Urinalysis & Urine Tests
Avg $3.45
45,460 claims
Dental Filling
Avg $33.90
20,411 claims
Psychiatric Evaluation
Avg $8.49
18,114 claims
Physical Therapy
Avg $24.96
12,451 claims
Tooth Extraction
Avg $103.73
11,940 claims