Average Medicaid Dental Cleaning & Exam Payments in Marion, NC: $30.16
Avg. Paid
$30.16
Range
$0.00 – $34.31
Total Claims
80,225
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 Marion, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Selph
1617 Sugar Hill Rd |
$28.93 | 24,375 | 22,952 |
|
Michelle Kim
2218 Rutherford Rd Ste A |
$30.54 | 15,726 | 15,287 |
|
Ryan O Mitchell
1103 E Court St |
$32.26 | 8,395 | 7,758 |
|
Kylie Mitchell
1103 E Court St |
$31.28 | 8,390 | 7,740 |
|
Brandon Joseph Blake
1921 Goose Creek Rd |
$32.32 | 8,198 | 8,120 |
|
Anna Caparaso
1433 N Main St |
$27.37 | 6,116 | 5,922 |
|
Katherine A. Grigg
2218 Rutherford Rd Ste A |
$29.84 | 5,015 | 4,792 |
|
Gary Max Grindstaff
1433 N Main St |
$28.32 | 1,617 | 1,547 |
|
Mark Steven Farris
1103 E Court St |
$31.89 | 1,222 | 1,173 |
|
Matthew James Bronk
2218 Rutherford Rd Ste B |
$34.31 | 390 | 382 |
|
Courtney Paden Morris Gardner
147 N Garden St |
$32.82 | 326 | 264 |
|
Kenneth William Stumpf
1613 Sugar Hill Rd |
$22.89 | 201 | 199 |
|
Kevin Wayne Silver
188 E Court St |
$21.05 | 75 | 67 |
|
Angela R Allen-Helms
31 E Medical Ct Ste 2 |
$20.02 | 72 | 70 |
|
Brandi Leigh Lyon
387 Us 70 W |
$26.66 | 45 | 41 |
|
Michelle Elie Osta
2218 Rutherford Rd # A |
$27.37 | 33 | 29 |
|
Mh Mission Hospital Mcdowell, Lllp
387 Us 70 W |
$0.00 | 29 | 25 |
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 Marion, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Marion, NC is $30.16 per claim, based on 80,225 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 Marion, NC?
There are 17 Medicaid providers offering Dental Cleaning & Exam related services in Marion, NC according to public payment data.
What is the price range for Dental Cleaning & Exam in Marion, NC?
Medicaid reimbursement for Dental Cleaning & Exam in Marion, NC ranges from $0.00 to $34.31 per claim, with an average of $30.16. 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
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
3,240,448 claims · 723 providers
Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
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