Average Medicaid Dental Cleaning & Exam Payments in Lexington, SC: $33.23
Avg. Paid
$33.23
Range
$20.54 – $41.24
Total Claims
202,701
Providers
23
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, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joshua Peyser
203 N Lake Dr |
$32.54 | 42,973 | 42,964 |
|
Jacqueline Leah Sadeghian
203 N Lake Dr |
$31.23 | 33,827 | 33,754 |
|
Kathryn Rogers Sample
203 N Lake Dr |
$32.63 | 25,802 | 25,801 |
|
Gunjit Rick Singh
203 North Lake Dr |
$33.54 | 23,554 | 23,546 |
|
Robert Paul Austin
510 Northwood Rd |
$38.96 | 21,268 | 21,268 |
|
Sukhvinder Kaur Guram
203 N Lake Dr |
$32.29 | 17,512 | 16,917 |
|
Encarnita Salvador Asis
5540 Sunset Blvd |
$32.79 | 14,666 | 14,661 |
|
Kevin M Raines
139 Whiteford Way |
$31.36 | 5,400 | 5,400 |
|
Robert Nieders
139 Whiteford Way |
$30.34 | 5,140 | 5,140 |
|
Tanusha P Patel
458 Old Cherokee Rd Ste 100 |
$39.86 | 4,636 | 4,629 |
|
Richard Lee Cross
139 Whiteford Way |
$32.60 | 2,316 | 2,313 |
|
Steven James Hutchinson
209 West Main Street |
$28.70 | 1,391 | 1,391 |
|
Travis Maxwell Frawley
4881 Sunset Blvd |
$39.66 | 1,284 | 1,284 |
|
Jamie Cross Gomez
139 Whiteford Way |
$32.30 | 942 | 942 |
|
Brian Edward Rodgers
510 Northwood Rd |
$27.32 | 772 | 772 |
|
Patrick A Scioscia
230 Saluda Springs Road |
$41.24 | 498 | 498 |
|
Mark Andrew Medlin
135 Charter Oak Rd |
$37.23 | 389 | 389 |
|
William Robert Thorner
808 Highway 378 Ste C |
$33.15 | 179 | 179 |
|
Kristen Chicola Neil
424 Old Cherokee Rd |
$30.10 | 45 | 39 |
|
Caroline Goldston Hartley
110 Charter Oak Rd |
$29.44 | 33 | 33 |
|
Todd Christopher Cleary
110 Charter Oak Rd |
$36.34 | 33 | 33 |
|
Kate M Pennella
5545 Platt Springs Rd |
$20.54 | 28 | 28 |
|
Joel Zenan Price
565 Corley Mill Road |
$23.00 | 13 | 13 |
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, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Lexington, SC is $33.23 per claim, based on 202,701 claims from 23 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, SC?
There are 23 Medicaid providers offering Dental Cleaning & Exam related services in Lexington, SC according to public payment data.
What is the price range for Dental Cleaning & Exam in Lexington, SC?
Medicaid reimbursement for Dental Cleaning & Exam in Lexington, SC ranges from $20.54 to $41.24 per claim, with an average of $33.23. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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