Average Medicaid Dental Cleaning & Exam Payments in Little Elm, TX: $40.30
Avg. Paid
$40.30
Range
$28.96 – $44.49
Total Claims
29,126
Providers
9
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 Little Elm, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vanphaphone Linavong
407 W Eldorado Pkwy |
$40.15 | 7,653 | 7,323 |
|
Anil K Gudipati
3010 Fm 423 Ste 100 |
$44.49 | 6,477 | 6,432 |
|
Saili Rekhi
632 Yarrow St |
$39.12 | 5,580 | 5,335 |
|
Michelle Nguyen
11700 Fm 423 |
$40.15 | 4,365 | 4,299 |
|
Thai-Son Tran
2043 Fm 423 Ste 100 |
$34.39 | 2,874 | 2,802 |
|
Ziad Masoud
11851 Fm423 |
$42.39 | 1,013 | 1,005 |
|
Ka Park
1000 E Eldorado Pkwy #130 |
$35.14 | 779 | 767 |
|
Nora Tadi
2701 Little Elm Pkwy # 100491 |
$43.24 | 311 | 309 |
|
Kiran Arora
2785 E Eldorado Pkwy # 105 |
$28.96 | 74 | 74 |
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 Little Elm, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Little Elm, TX is $40.30 per claim, based on 29,126 claims from 9 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 Little Elm, TX?
There are 9 Medicaid providers offering Dental Cleaning & Exam related services in Little Elm, TX according to public payment data.
What is the price range for Dental Cleaning & Exam in Little Elm, TX?
Medicaid reimbursement for Dental Cleaning & Exam in Little Elm, TX ranges from $28.96 to $44.49 per claim, with an average of $40.30. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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Other Procedures in Little Elm, TX
Office Visit
Avg $65.99
7,608 claims
Chiropractic Care
Avg $18.70
6,535 claims
Dental Filling
Avg $89.29
4,554 claims
Nursing Facility Care
Avg $8.60
3,021 claims
Physical Therapy
Avg $56.28
2,747 claims
Psychiatric Evaluation
Avg $71.40
1,312 claims
Emergency Room Visit
Avg $59.06
730 claims
Urinalysis & Urine Tests
Avg $0.07
294 claims