Average Medicaid Dental Cleaning & Exam Payments in Lexington, NC: $27.87
Avg. Paid
$27.87
Range
$6.43 – $40.89
Total Claims
70,455
Providers
20
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, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alyssa Works
32 Kirkwood Ave |
$28.85 | 15,583 | 14,581 |
|
Tameko Lashon Alford
420 N Salisbury St |
$27.11 | 11,867 | 10,422 |
|
Daniel Simeon Siceloff
6595 Old Us Highway 52 |
$29.13 | 11,545 | 11,175 |
|
Anthony N Hoang
672 Radio Drive |
$29.47 | 10,462 | 9,385 |
|
John Glen Buchanan
245 E Center St |
$29.74 | 6,032 | 5,860 |
|
Kevin Wayne Hoover
539 East Center Street |
$30.62 | 4,230 | 4,144 |
|
Sarah E Frye
1 Weaver Dr |
$17.30 | 3,892 | 2,450 |
|
Michael Alan Bellamy
8 Medical Park Dr |
$34.04 | 2,082 | 1,764 |
|
Shane Lu
242 N Talbert Blvd |
$6.43 | 2,036 | 1,488 |
|
Michael Raymond Tumbarello
5569 Old Us Highway 52 |
$27.01 | 674 | 669 |
|
Elizabeth Cherry Reichard
13 Medical Park Dr |
$30.10 | 502 | 485 |
|
Patricia Berrier Lookabill
13 Medical Park Dr |
$34.06 | 456 | 447 |
|
Faith Lockett Gardner
13 Medical Park Dr |
$33.91 | 307 | 306 |
|
Heather Anderson Firebaugh
13 Medical Park Dr |
$32.97 | 299 | 290 |
|
William Gaston Penry
241 East Center Street |
$40.89 | 284 | 277 |
|
Margaret Amanda Loda
8 Medical Park Dr |
$34.45 | 110 | 108 |
|
Roberts Edgar Timberlake
741 Vineyards Xing |
$25.01 | 38 | 36 |
|
Benjamin Lewis Wilson
102 W Medical Park Dr |
$34.08 | 29 | 27 |
|
James Michael Kidder
13 Medical Park Dr |
$32.25 | 15 | 15 |
|
Mallory Alexa Choplin
101 W Medical Park Dr |
$38.79 | 12 | 12 |
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, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Lexington, NC is $27.87 per claim, based on 70,455 claims from 20 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, NC?
There are 20 Medicaid providers offering Dental Cleaning & Exam related services in Lexington, NC according to public payment data.
What is the price range for Dental Cleaning & Exam in Lexington, NC?
Medicaid reimbursement for Dental Cleaning & Exam in Lexington, NC ranges from $6.43 to $40.89 per claim, with an average of $27.87. 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, NC
Substance Abuse Treatment
Avg $37.79
559,581 claims
Office Visit
Avg $54.63
234,434 claims
Speech Therapy
Avg $45.23
234,175 claims
Physical Therapy
Avg $74.35
136,856 claims
Vaccines & Immunizations
Avg $15.31
101,722 claims
Emergency Room Visit
Avg $114.36
71,313 claims
Blood Work & Lab Tests
Avg $14.46
58,709 claims
Durable Medical Equipment (DME)
Avg $24.50
47,939 claims