Average Medicaid Dental Cleaning & Exam Payments in Martinsburg, WV: $20.33
Avg. Paid
$20.33
Range
$8.07 – $39.48
Total Claims
65,206
Providers
22
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 Martinsburg, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Randolph Terry Evans
22 Sierra Drive |
$25.00 | 17 | 17 |
|
David Robert Schmid
58 Warm Springs Ave |
$11.52 | 22 | 14 |
|
Erica Breann Patthoff
300 Foxcroft Drive |
$24.18 | 40 | 39 |
|
Erica B. Patthoff, Dds, Pllc
300 Foxcroft Ave Ste 302 |
$32.90 | 42 | 31 |
|
Patricia M Hartman
50 Street Of Dreams |
$28.25 | 48 | 30 |
|
Donald Edward Patthoff
300 Foxcroft Ave |
$25.54 | 140 | 104 |
|
Anne R Basham
1226 Shepherdstown Road |
$18.01 | 203 | 133 |
|
Associated Oral & Maxillofacial Surgeons, Pc
1007 Sushruta Drive |
$34.15 | 367 | 342 |
|
Scheherazade Jaamac
58 Warm Springs Ave |
$26.16 | 383 | 380 |
|
D'Vano J Forbes
1007 Sushruta Dr |
$30.36 | 556 | 498 |
|
Angelina Browning
510 Butler Ave |
$18.09 | 592 | 543 |
|
Joshua Mcgary Wright
2001 Professional Ct |
$15.12 | 625 | 478 |
|
Joshua M. Wright, Dds, Pllc
2001 Professional Ct |
$34.48 | 666 | 650 |
|
Nahla Chaudhary
1007 Sushruta Dr |
$39.48 | 1,565 | 1,487 |
|
Lance M Pittman
1004 Sushruta Dr |
$30.60 | 1,685 | 1,592 |
|
Lisa Lea Dunn
2500 Foundation Way |
$33.16 | 2,435 | 2,345 |
|
Deborah Lynn Mcclintock
911 Maryland Ave |
$34.57 | 2,707 | 2,229 |
|
Gabrielle Helms
58 Warm Springs Ave. |
$10.28 | 3,443 | 3,032 |
|
Jeremy Richardson
58 Warm Springs Ave |
$8.07 | 5,071 | 4,596 |
|
Ryan Gregory Clark
58 Warm Springs Ave |
$17.85 | 7,453 | 6,493 |
|
Wv Pediatric Dentistry Pllc
1004 Sushruta Dr Ste D |
$37.17 | 13,804 | 13,381 |
|
Shenandoah Valley Medical System, Inc.
58 Warm Springs Ave |
$9.49 | 23,342 | 21,778 |
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 Martinsburg, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Martinsburg, WV is $20.33 per claim, based on 65,206 claims from 22 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 Martinsburg, WV?
There are 22 Medicaid providers offering Dental Cleaning & Exam related services in Martinsburg, WV according to public payment data.
What is the price range for Dental Cleaning & Exam in Martinsburg, WV?
Medicaid reimbursement for Dental Cleaning & Exam in Martinsburg, WV ranges from $8.07 to $39.48 per claim, with an average of $20.33. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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Avg $29.76
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Chicago, IL
Avg $29.66
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Los Angeles, CA
Avg $49.60
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New York, NY
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Avg $40.74
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