Average Medicaid Dental Cleaning & Exam Payments in Madison, AL: $24.12
Avg. Paid
$24.12
Range
$0.00 – $38.07
Total Claims
106,529
Providers
17
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 Madison, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lauren Faustmann
20 Hughes Rd # 104 |
$23.52 | 32,150 | 29,543 |
|
Ian Reuter
12205 County Line Rd Ste A |
$25.44 | 19,149 | 18,305 |
|
David Kennon Curtis
7771 Highway 72 W Ste B |
$22.18 | 18,055 | 16,876 |
|
Sarah Michelle Withrow
119 Arlington Dr |
$23.60 | 11,126 | 10,179 |
|
Madison Pediatric Dentistry Llc
7559 Highway 72 W |
$30.04 | 10,653 | 10,450 |
|
Elizabeth B Holland
1920 Slaughter Rd |
$20.19 | 7,799 | 6,862 |
|
D. Kennon Curtis Jr. Dmd Pc
7771 Highway 72 W |
$27.46 | 3,090 | 2,893 |
|
Joyce L Bellamy
7559 Highway 72 W Ste 105A |
$24.09 | 1,668 | 1,644 |
|
Singing River Dentistry Treehouse, Llc
7559 Highway 72 W Ste 108 |
$28.52 | 1,321 | 1,199 |
|
Jitendra A Jain
102 Essex Ct |
$12.89 | 676 | 655 |
|
Mitra Darice Waite
20 Hughes Rd |
$19.79 | 269 | 245 |
|
Grant Talbert
1079 Balch Rd Ste B |
$20.54 | 186 | 184 |
|
Latoya Ann Solomon
9238 Madison Blvd Ste. 110 |
$0.00 | 167 | 145 |
|
North Alabama Oral And Facial Surgery Llc
44 Hughes Rd |
$30.45 | 150 | 138 |
|
Dental Associates Of Madison, Llc
4072 Sullivan St |
$0.00 | 41 | 41 |
|
Matthew Gibson
10871 County Line Rd Ste A |
$16.80 | 15 | 15 |
|
Treehouse Children'S Dentistry, Llc
7559 Highway 72 W Ste 108 |
$38.07 | 14 | 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 Madison, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Madison, AL is $24.12 per claim, based on 106,529 claims from 17 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 Madison, AL?
There are 17 Medicaid providers offering Dental Cleaning & Exam related services in Madison, AL according to public payment data.
What is the price range for Dental Cleaning & Exam in Madison, AL?
Medicaid reimbursement for Dental Cleaning & Exam in Madison, AL ranges from $0.00 to $38.07 per claim, with an average of $24.12. 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 Madison, AL
Office Visit
Avg $59.62
168,475 claims
Psychiatric Evaluation
Avg $21.91
70,524 claims
Emergency Room Visit
Avg $47.94
50,676 claims
Vaccines & Immunizations
Avg $26.10
48,698 claims
Nursing Facility Care
Avg $1.98
40,490 claims
Blood Work & Lab Tests
Avg $8.09
31,757 claims
Urinalysis & Urine Tests
Avg $2.79
25,536 claims
Eye Exam
Avg $30.01
18,155 claims