Average Medicaid Dental Cleaning & Exam Payments in Maryville, TN: $26.15
Avg. Paid
$26.15
Range
$22.03 – $31.46
Total Claims
51,023
Providers
19
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 Maryville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Clint Ole Brodal
121 Parliament Dr |
$27.22 | 11,468 | 11,047 |
|
Garry Drew Osborn
121 Parliament Dr |
$26.98 | 10,134 | 9,648 |
|
Timothy Travis Jones
121 Parliament Dr |
$27.59 | 7,194 | 6,913 |
|
Brock D. Evans
1505 E Lamar Alexander Pkwy |
$23.59 | 4,489 | 4,413 |
|
Zeb Conley Shope
2947 Sam James Rd |
$28.53 | 4,357 | 4,212 |
|
Troy A Trondson
1505 E Lamar Alexander Pkwy |
$23.62 | 3,983 | 3,931 |
|
Mark M. Widloski
1505 E Lamar Alexander Pkwy |
$23.07 | 3,302 | 3,211 |
|
Garren M Petree
1858 Crest Rd |
$23.87 | 1,433 | 1,425 |
|
Troy Randall Napier
1858 Crest Rd |
$24.00 | 1,146 | 1,140 |
|
Charles Hartwell Shanks
1511 E Lamar Alexander Pkwy |
$25.35 | 1,126 | 1,040 |
|
Jason Robert Kennedy
1858 Crest Rd |
$23.90 | 874 | 869 |
|
Timothy P Mcconnell
1858 Crest Rd |
$23.52 | 560 | 554 |
|
Lamarr Holland
1740 Big Springs Rd |
$31.46 | 296 | 296 |
|
Kelsey Gardner Laporte
205 Southdowne Dr |
$22.03 | 290 | 290 |
|
Mark D Evans
315 Lamar St. |
$26.03 | 173 | 172 |
|
Randall L Ford
1740 Big Springs Rd |
$28.10 | 88 | 87 |
|
Otto W Slater
205 Southdowne Dr |
$23.83 | 85 | 84 |
|
Robert Vinsant Ingle
1944 E Lamar Alexander Pkwy |
$22.30 | 13 | 12 |
|
Roberson Family Dental Pllc
1740 Big Springs Rd |
$29.03 | 12 | 12 |
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 Maryville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Maryville, TN is $26.15 per claim, based on 51,023 claims from 19 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 Maryville, TN?
There are 19 Medicaid providers offering Dental Cleaning & Exam related services in Maryville, TN according to public payment data.
What is the price range for Dental Cleaning & Exam in Maryville, TN?
Medicaid reimbursement for Dental Cleaning & Exam in Maryville, TN ranges from $22.03 to $31.46 per claim, with an average of $26.15. 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 Maryville, TN
Office Visit
Avg $40.36
305,416 claims
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Avg $34.92
193,161 claims
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Avg $56.25
112,753 claims
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Avg $93.16
109,711 claims
Blood Work & Lab Tests
Avg $3.90
88,804 claims
Physical Therapy
Avg $30.59
87,201 claims
X-Ray
Avg $3.46
52,929 claims
Durable Medical Equipment (DME)
Avg $15.09
50,145 claims