Average Medicaid Dental Cleaning & Exam Payments in Juana Diaz, PR: $18.65
Avg. Paid
$18.65
Range
$0.00 – $29.32
Total Claims
38,656
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 Juana Diaz, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jorge Luis Rivera
4 Calle Santiago Veve |
$19.48 | 16,868 | 13,981 |
|
Juan R Rosario
Calle Comercio #116 |
$18.52 | 6,556 | 5,754 |
|
Alberto Jose Bigay
Munoz Rivera #29-E |
$19.14 | 5,039 | 4,255 |
|
Med Centro Inc.
Road 1, Km 9 Sector Capitanejo Singapur |
$16.62 | 3,604 | 3,459 |
|
Ingrid M Rosso-Tridas
54 Calle Munoz Rivera |
$16.62 | 2,120 | 1,747 |
|
Ismael Emmanuelli
31 Calle Degetau |
$12.44 | 1,335 | 973 |
|
Conceptos Dentales Del Sur
4 Calle Santiago Veve |
$21.36 | 931 | 789 |
|
Jose A Ortiz Dmd, Psc
Urb. Orta, Carr. Pr-14 #4 |
$15.95 | 744 | 611 |
|
Jose Anibal Ortiz
Urb. Orta, Carr 14 Km 13.1 |
$22.78 | 728 | 692 |
|
Edwin S. Lugo-Matias
Pr 149, Km 62.4 |
$29.32 | 490 | 458 |
|
Moraima Pagan La Torre
#5 Calle Santiago Iglesias |
$0.00 | 241 | 239 |
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 Juana Diaz, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Juana Diaz, PR is $18.65 per claim, based on 38,656 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 Juana Diaz, PR?
There are 11 Medicaid providers offering Dental Cleaning & Exam related services in Juana Diaz, PR according to public payment data.
What is the price range for Dental Cleaning & Exam in Juana Diaz, PR?
Medicaid reimbursement for Dental Cleaning & Exam in Juana Diaz, PR ranges from $0.00 to $29.32 per claim, with an average of $18.65. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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