Average Medicaid Dental Cleaning & Exam Payments in Johnson City, TN: $30.43
Avg. Paid
$30.43
Range
$22.50 – $35.15
Total Claims
72,930
Providers
22
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 Johnson City, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark B Mchaney
400 N State Of Franklin Rd |
$31.10 | 22 | 16 |
|
Alisa A Cade
185 Treasure Lane |
$29.03 | 43 | 43 |
|
Advanced Dental And Anesthesia Solutions Llc
135 Marketplace Dr Ste 101 |
$24.52 | 49 | 49 |
|
Sandford W Prince
2306 Knob Creek Road #108 |
$22.71 | 55 | 53 |
|
Charles Edward Witkowski
1021 W Oakland Ave |
$23.22 | 68 | 65 |
|
Ernest W. Cooper
515 E Watauga Ave |
$35.15 | 72 | 65 |
|
Rachel Dasher Hymes
2151 Century Lane |
$26.63 | 82 | 82 |
|
Jacqueline Grooms Oliver
329 Wesley St |
$30.62 | 117 | 100 |
|
Allison Poget
801 Sunset Dr |
$27.98 | 199 | 196 |
|
Rebecca Lou Nunley
300 W Watauga Ave |
$23.85 | 449 | 398 |
|
Carl W Eilers
508 Princeton Rd |
$22.50 | 599 | 581 |
|
Tulsidas Patel
1720 W Market St |
$31.57 | 1,084 | 1,052 |
|
John G Langenbrunner
712 W Walnut St |
$30.68 | 1,134 | 1,127 |
|
David Lyle Hunt
110 Corporate Drive |
$29.74 | 1,487 | 1,484 |
|
Matthew Sherban
1021 W Oakland Ave Ste 109 |
$23.17 | 1,630 | 1,574 |
|
Nilam Tulsidas Patel
502 Princeton Rd Ste B |
$34.31 | 2,270 | 2,205 |
|
Charles Orville Parker
219 Princeton Rd |
$29.40 | 2,661 | 2,650 |
|
Laurel Ayres Meriwether
801 Sunset Dr |
$25.07 | 5,450 | 5,401 |
|
Amy Herron Moody
108 W 10Th Ave |
$30.23 | 5,759 | 5,629 |
|
Misty Rene' Horn-Blake
1301 Sunset Dr |
$32.77 | 6,347 | 6,308 |
|
Olivia Nicole Gannon
219 Princeton Road |
$32.41 | 7,351 | 7,256 |
|
Brit Edwin Bowers
801 Sunset Dr |
$30.87 | 36,002 | 35,618 |
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 Johnson City, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Johnson City, TN is $30.43 per claim, based on 72,930 claims from 22 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 Johnson City, TN?
There are 22 Medicaid providers offering Dental Cleaning & Exam related services in Johnson City, TN according to public payment data.
What is the price range for Dental Cleaning & Exam in Johnson City, TN?
Medicaid reimbursement for Dental Cleaning & Exam in Johnson City, TN ranges from $22.50 to $35.15 per claim, with an average of $30.43. 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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Bronx, NY
Avg $31.12
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New York, NY
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Avg $40.74
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Other Procedures in Johnson City, TN
Office Visit
Avg $41.00
1,254,454 claims
Blood Work & Lab Tests
Avg $6.13
810,124 claims
Ambulance Transport
Avg $19.77
356,576 claims
Non-Emergency Medical Transportation
Avg $5.44
345,590 claims
Emergency Room Visit
Avg $90.83
331,961 claims
Psychiatric Evaluation
Avg $39.41
315,792 claims
Home Health Visit
Avg $80.06
306,249 claims
Nursing Facility Care
Avg $9.59
243,361 claims