Average Medicaid Dental Cleaning & Exam Payments in Madison, TN: $29.39
Avg. Paid
$29.39
Range
$28.62 – $33.05
Total Claims
212,045
Providers
10
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, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Corey Joseph Cloud
500 Lentz Dr Ste 40 |
$28.91 | 81,118 | 66,609 |
|
Kurt Robert Swauger
500 Lentz Dr |
$29.67 | 38,951 | 38,414 |
|
Emily Suiter
500 Lentz Dr |
$29.88 | 36,650 | 36,216 |
|
Claranell H Fleming
312 Hospital Dr |
$28.62 | 35,988 | 34,403 |
|
Spencer Garrett Warren
500 Lentz Dr Ste 40 |
$30.84 | 11,312 | 11,238 |
|
Carlton Taylor Leding
2153 Gallatin Pike N |
$31.98 | 5,000 | 4,799 |
|
Rajan Kshatri
231 W Old Hickory Blvd |
$33.05 | 1,087 | 1,062 |
|
Matthew Douglas Smith
500 Lentz Dr Ste 90A |
$31.97 | 998 | 972 |
|
Andrew Schneider
2153 Gallatin Pike N |
$30.42 | 833 | 780 |
|
Timothy M Blair
500 Lentz Dr |
$29.69 | 108 | 103 |
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, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Madison, TN is $29.39 per claim, based on 212,045 claims from 10 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, TN?
There are 10 Medicaid providers offering Dental Cleaning & Exam related services in Madison, TN according to public payment data.
What is the price range for Dental Cleaning & Exam in Madison, TN?
Medicaid reimbursement for Dental Cleaning & Exam in Madison, TN ranges from $28.62 to $33.05 per claim, with an average of $29.39. 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
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Avg $2.95
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Avg $43.91
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