Average Medicaid Dental Cleaning & Exam Payments in Knoxville, TN: $28.85
Avg. Paid
$28.85
Range
$1.84 – $173.58
Total Claims
595,178
Providers
62
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 Knoxville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicole Case Eisenberg
4533 Papermill Road |
$24.40 | 14 | 14 |
|
Rong Zeng
8401 Kingston Pike |
$1.84 | 31 | 28 |
|
Mitchell Ryan Mascaro
130 Mabry Hood Rd Ste 105 |
$23.81 | 87 | 87 |
|
Eric Becker
1924 Alcoa Highway, U-60 |
$24.03 | 142 | 97 |
|
Daniel S Read
111 Fox Rd Ste 201 |
$26.09 | 167 | 146 |
|
Michael Winstead
1930 Alcoa Hwy Ste 335 |
$28.25 | 266 | 262 |
|
John P Jones
3720 Cunningham Rd |
$31.11 | 274 | 270 |
|
Carol Ann Shipley
140 Dameron Ave |
$17.56 | 321 | 296 |
|
William Stephen Jones
121 Suburban Rd |
$25.97 | 375 | 310 |
|
Sarah Elizabeth Walker
1516 Coleman Rd Ste 205 |
$28.10 | 492 | 491 |
|
Lauren Gates Fey
4947 Millertown Pike |
$31.13 | 679 | 615 |
|
Linda Hoa Tran Huang
3720 Cunningham Rd |
$31.64 | 703 | 699 |
|
Baxter William Jones
111 Fox Rd Ste 201 |
$26.34 | 770 | 692 |
|
Nickita R. Zaveri
240 S Peters Rd Ste 101 |
$28.17 | 945 | 936 |
|
Susan Jean Baker
1705 St Mary Street |
$30.66 | 983 | 956 |
|
Dan G Lovely
323 Fox Rd |
$28.97 | 998 | 960 |
|
Darryl Edward Phillips
323 Fox Rd |
$27.90 | 1,128 | 1,092 |
|
Kevin Hathorne
4619 Sunflower Rd Apt 93 |
$25.12 | 1,440 | 1,273 |
|
Michael John Molloy
4620 Old Broadway St |
$29.84 | 1,497 | 1,431 |
|
Reggie M. Waddell
3629 Neal Dr |
$30.45 | 1,498 | 1,492 |
|
David O Pickett
248 N Peters Rd |
$22.94 | 1,524 | 1,457 |
|
Eugene Woody Stinson
8874 Kingston Pike |
$31.24 | 1,604 | 1,578 |
|
Zachary T Bulmanski
1930 Alcoa Hwy |
$32.26 | 1,859 | 1,822 |
|
Nathaniel G Wells
1930 Alcoa Hwy |
$22.99 | 1,912 | 1,858 |
|
Ioana Soimaru
2018 Western Ave |
$34.47 | 2,116 | 1,966 |
|
Lacy Brieann Hudson
140 Dameron Ave |
$31.02 | 2,159 | 2,133 |
|
Erin Lee Noble
6414 Granite Hill Ln |
$44.56 | 2,525 | 2,515 |
|
Richard Myers
801 W Oldham Ave |
$31.09 | 2,655 | 2,620 |
|
Ronald Woodrow Smith
7039 Maynardville Highway |
$33.32 | 3,013 | 2,665 |
|
Breanna Michele Costa
264 S Peters Rd |
$29.95 | 3,200 | 3,064 |
|
Caroline Lorraine Lambert
1528 Bronze Way |
$173.58 | 3,389 | 3,362 |
|
George Peter Suranyi
550 Town Creek Rd E Ste 202 |
$29.21 | 4,076 | 4,062 |
|
Lucas Michael Hunley
9000 Kingston Pike |
$23.24 | 4,205 | 3,902 |
|
Nadareh M Naseri
1516 Coleman Rd Ste 201 |
$25.39 | 4,349 | 4,035 |
|
Ronnie Scott Word
1703 Callahan Dr |
$31.28 | 5,529 | 5,515 |
|
Kairav Vyas
5303 Jacksboro Pike |
$31.39 | 5,631 | 5,600 |
|
Elizabeth Ann Evans
601 S Concord St |
$25.24 | 6,476 | 6,330 |
|
George Joshua Steedley
801 W Oldham Ave |
$29.00 | 7,283 | 7,029 |
|
John Hollingsworth
7560 Chapman Hwy |
$25.39 | 7,968 | 6,919 |
|
Fred James Hollingsworth
9225 Westland Dr # 101 |
$28.34 | 7,984 | 7,646 |
|
Nathan Charles La Monica
3001 Knoxville Center Dr |
$31.06 | 8,071 | 7,888 |
|
Michael Edward Edenfield
2937 Essary Rd |
$25.14 | 8,280 | 7,376 |
|
Martin W Roberson
310 Simmons Rd |
$30.04 | 9,216 | 8,914 |
|
Valerie A Esker
1516 Coleman Rd Ste 201 |
$25.43 | 10,001 | 8,904 |
|
Gina Roxanne Pittenger
3712 Middlebrook Pike |
$29.07 | 10,289 | 9,882 |
|
Carl Michael Todoro
140 Dameron Ave |
$27.54 | 12,273 | 11,622 |
|
Thomas Andrew Sharp
801 W Oldham Ave |
$28.94 | 12,883 | 12,726 |
|
Samantha Rose
10910 Kingston Pike Unit 105 |
$28.45 | 13,189 | 12,564 |
|
Charlotte Elizabeth Grant
10910 Kingston Pike Unit 105 |
$28.46 | 15,126 | 14,337 |
|
Lendell Massengale
310 Simmons Rd |
$31.25 | 15,354 | 14,958 |
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 Knoxville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Knoxville, TN is $28.85 per claim, based on 595,178 claims from 62 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 Knoxville, TN?
There are 62 Medicaid providers offering Dental Cleaning & Exam related services in Knoxville, TN according to public payment data.
What is the price range for Dental Cleaning & Exam in Knoxville, TN?
Medicaid reimbursement for Dental Cleaning & Exam in Knoxville, TN ranges from $1.84 to $173.58 per claim, with an average of $28.85. 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 Knoxville, TN
Office Visit
Avg $45.18
3,462,740 claims
Blood Work & Lab Tests
Avg $4.36
3,232,027 claims
Case Management Services
Avg $11.55
1,534,932 claims
Emergency Room Visit
Avg $112.38
1,231,223 claims
Ambulance Transport
Avg $34.35
1,208,594 claims
Speech Therapy
Avg $48.14
1,179,507 claims
X-Ray
Avg $5.65
1,112,380 claims
Psychiatric Evaluation
Avg $54.43
1,063,759 claims