Average Medicaid Dental Cleaning & Exam Payments in Lexington, KY: $36.91
Avg. Paid
$36.91
Range
$2.82 – $418.19
Total Claims
818,313
Providers
147
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 Lexington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Emily Michelle Winfrey
800 Rose St Rm D104 |
$31.95 | 12 | 12 |
|
Lesley Boeh Adams
800 Rose St # D164 |
$3.59 | 13 | 13 |
|
Angela Valentine Brown
3111 Wall St |
$21.15 | 13 | 12 |
|
Thomas A Mcconnell
800 Rose St |
$40.12 | 14 | 14 |
|
Kara Butler Hourdas
University Of Kentucky 800 Rose Street |
$32.50 | 18 | 18 |
|
David Burrell Guthrie
910 Enterprise Ct Unit A276 |
$18.52 | 27 | 27 |
|
Marcia V. Rojas Ramirez
800 Rose Street, Room D104 |
$24.35 | 37 | 30 |
|
Nancy Katherine Von Lackum
620 Perimeter Dr |
$33.63 | 39 | 39 |
|
Kristy Pepper Lawson
800 Rose Street, Room D104 |
$31.84 | 49 | 49 |
|
Lisa Kochis
4071 Tates Creek Centre Dr |
$6.42 | 50 | 47 |
|
Charles Ira Emrich
131 Prosperous Pl |
$2.82 | 51 | 50 |
|
Jane J Jordan
800 Rose Street, Room D104 |
$40.45 | 54 | 52 |
|
James E Oaks
3404 Lansdowne Dr |
$30.76 | 56 | 55 |
|
Marcelo Barbosa De Accioly Mattos
800 Rose St |
$39.72 | 65 | 64 |
|
Larry Herman
228 N Upper St |
$32.72 | 75 | 75 |
|
Sierra Brooke Nunn
1093 Duval St |
$34.41 | 82 | 81 |
|
Christian Shannon Fraley
2400 Greatstone Pt |
$36.55 | 84 | 83 |
|
Mohanad Al-Sabbagh
800 Rose St |
$55.71 | 96 | 87 |
|
Travis Mcmaine
2195 Harrodsburg Rd Ste 175 |
$66.00 | 101 | 101 |
|
Luke Smith
740 S Limestone A-219 Kentucky Clinic |
$26.89 | 102 | 101 |
|
Kenneth B Nusbacher
800 Rose Street, Rm. D104 |
$32.69 | 107 | 102 |
|
Alfred H Wiemann
800 Rose St Rm D104 |
$45.97 | 135 | 135 |
|
David T Roe
800 Rose St Rm D-508 |
$17.33 | 136 | 126 |
|
Cherice Marie Mclaurin-Hollingsworth
1517 Nicholasville Rd Ste 301 |
$27.35 | 156 | 152 |
|
John T Norden
2134 Nicholasville Rd |
$12.73 | 157 | 93 |
|
Leslie Johnson
496 Southland Dr |
$28.40 | 182 | 157 |
|
William Scott Jenkins
216 Fountain Ct |
$31.53 | 182 | 168 |
|
Varghah Lotfi
506 Woodland Ave # 2 |
$30.28 | 191 | 191 |
|
Barbara Lynn Theiss
800 Rose St |
$29.51 | 192 | 190 |
|
Andre Huunhan Nguyen
800 Rose St Rm D-508 |
$21.20 | 199 | 197 |
|
Madeline White Hill
1312 Gray Hawk Rd Apt C |
$27.82 | 223 | 165 |
|
Nick Samuel Morrow
216 Fountain Ct Ste 110 |
$35.14 | 251 | 247 |
|
Rachel Chaney
3695 Nicholasville Rd Ste 140 |
$26.03 | 255 | 240 |
|
Polly Blake Buckey Boehnlein
1301 Winchester Rd Ste 225 |
$34.77 | 256 | 248 |
|
Shelby Paige Oberst
770 Rose Street |
$39.83 | 270 | 267 |
|
Lauren Schiff Weber
2505 Larkin Rd |
$32.62 | 271 | 271 |
|
Daniel Crain
1640 Nicholasville Rd Ste 103 |
$34.94 | 282 | 262 |
|
Conner James Sherwood
3159 Beaumont Centre Circle Ste 375 |
$50.03 | 314 | 313 |
|
Bruce R Nicol
2533 Larkin Rd |
$48.92 | 332 | 322 |
|
Michael P Buchart
698 Perimeter Dr |
$21.65 | 342 | 308 |
|
Katie Jo Hunt
3695 Nicholasville Rd Ste 140 |
$42.76 | 360 | 355 |
|
Joseph E Vansickels
800 Rose St |
$41.73 | 396 | 387 |
|
Craig S Miller
800 Rose St Rm D104 |
$36.33 | 433 | 407 |
|
Eric T Demann
800 Rose St |
$33.48 | 464 | 436 |
|
Xia You Fehr
1500 Leestown Road |
$28.00 | 510 | 496 |
|
Daniel John Steckler
Ky Clinic Dentistry |
$31.59 | 527 | 465 |
|
Stephen Tyler Graul
431 Redding Rd # 110 |
$35.83 | 541 | 529 |
|
David E Eccker
800 Rose St # D202 |
$32.56 | 561 | 558 |
|
John E Lindroth
800 Rose St |
$28.84 | 563 | 534 |
|
Katharine Bowen
3141 Beaumont Centre Cir |
$40.52 | 640 | 628 |
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 Lexington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Lexington, KY is $36.91 per claim, based on 818,313 claims from 147 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 Lexington, KY?
There are 147 Medicaid providers offering Dental Cleaning & Exam related services in Lexington, KY according to public payment data.
What is the price range for Dental Cleaning & Exam in Lexington, KY?
Medicaid reimbursement for Dental Cleaning & Exam in Lexington, KY ranges from $2.82 to $418.19 per claim, with an average of $36.91. 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 Lexington, KY
Blood Work & Lab Tests
Avg $14.22
4,452,973 claims
Office Visit
Avg $40.42
4,343,155 claims
Emergency Room Visit
Avg $156.12
2,128,548 claims
X-Ray
Avg $27.62
1,657,833 claims
Psychiatric Evaluation
Avg $54.73
1,162,452 claims
Physical Therapy
Avg $62.23
1,009,326 claims
Substance Abuse Treatment
Avg $82.19
953,868 claims
CT Scan (Computed Tomography)
Avg $183.79
697,695 claims