Average Medicaid Dental Cleaning & Exam Payments in Lewisville, TX: $36.81
Avg. Paid
$36.81
Range
$22.32 – $52.26
Total Claims
92,066
Providers
25
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 Lewisville, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Martin Gonzalez
2401 S Stemmons Fwy |
$31.82 | 16,936 | 16,809 |
|
Harry Ashitey
755 State Highway 121 Byp |
$37.32 | 11,981 | 11,229 |
|
Tiffany Lan Pham
967 N Garden Ridge Blvd |
$42.12 | 11,889 | 11,806 |
|
Stephen Kyle Hartzog
501 S Stemmons Fwy |
$39.60 | 10,126 | 9,878 |
|
Kathleen Huan Pham
951 W Main St |
$43.34 | 8,825 | 8,782 |
|
Jayun Joanna Kim
4920 Tx-121 #200 |
$31.93 | 6,611 | 6,286 |
|
Seung-Hoon Lee
930 W Main St |
$30.65 | 5,637 | 5,386 |
|
Lizzeth Rodriguez
967 N Garden Ridge Blvd |
$42.90 | 4,366 | 4,254 |
|
Bryan Hassler
2401 S Stemmons Fwy Ste 1258 |
$31.39 | 3,404 | 2,957 |
|
Dhruvkumar Jitendrabhai Patel
966 N Garden Ridge Blvd Ste 510 |
$36.05 | 3,010 | 2,960 |
|
Bao Tran Quach
383 Huffines Plz Ste 380 |
$33.30 | 2,367 | 2,320 |
|
Steven Lee
297 W Fm 3040 Ste 127 |
$35.95 | 1,681 | 1,669 |
|
Mamatha Valishetty
755 State Highway 121 Byp # A200 |
$31.05 | 1,373 | 1,240 |
|
Lin Chang
101 E Corporate Dr |
$52.26 | 1,109 | 1,098 |
|
Sweta Shah
2617 Wales Way |
$43.52 | 660 | 638 |
|
Michael Nguyen
1288 W Main St Ste 123 |
$32.24 | 450 | 438 |
|
Jeff S Tan
930 W Main St |
$27.65 | 422 | 419 |
|
Weiping Zhang
101 E Southwest Pkwy Ste 103 |
$31.81 | 419 | 416 |
|
Sateesh Kumar Ummareddy
2625 Cole Castle Dr |
$31.04 | 254 | 244 |
|
Ogochukwu Fidel Nduka
560 W Main St Ste 202 |
$29.36 | 188 | 184 |
|
Sujata Basawaraj
4679 Sh 121 |
$31.54 | 186 | 179 |
|
Ira Eugene Mims
1565 W Main St |
$29.18 | 67 | 65 |
|
Namrata B Shah
1640 Fm 544 |
$22.32 | 53 | 41 |
|
Mauricio Dardano
2401 S Stemmons Fwy Ste 1258 |
$31.96 | 38 | 38 |
|
Patricia Guerra-Hirji
111 Barnett Dr Ste A |
$28.85 | 14 | 14 |
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 Lewisville, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Lewisville, TX is $36.81 per claim, based on 92,066 claims from 25 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 Lewisville, TX?
There are 25 Medicaid providers offering Dental Cleaning & Exam related services in Lewisville, TX according to public payment data.
What is the price range for Dental Cleaning & Exam in Lewisville, TX?
Medicaid reimbursement for Dental Cleaning & Exam in Lewisville, TX ranges from $22.32 to $52.26 per claim, with an average of $36.81. 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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Avg $29.66
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Avg $40.74
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Other Procedures in Lewisville, TX
Office Visit
Avg $41.97
297,601 claims
Vaccines & Immunizations
Avg $6.44
127,067 claims
Blood Work & Lab Tests
Avg $5.17
102,594 claims
Emergency Room Visit
Avg $113.51
61,752 claims
Dental Filling
Avg $80.45
48,681 claims
Psychiatric Evaluation
Avg $62.61
44,041 claims
Urinalysis & Urine Tests
Avg $2.91
40,020 claims
Pathology & Lab Services
Avg $25.46
38,126 claims