Average Medicaid Dental Cleaning & Exam Payments in Orocovis, PR: $20.44
Avg. Paid
$20.44
Range
$12.80 – $24.07
Total Claims
21,084
Providers
7
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 Orocovis, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Xiomarie Negron-Rivera
7 Ave Ernesto Ramos Antonini Ste 201 |
$21.23 | 7,431 | 6,405 |
|
Valerie Cuevas
Ave Luis Munoz Marin Sector El Devio |
$21.83 | 4,306 | 3,428 |
|
Erika Garcia
7 Ave Ernesto Ramos Antonini Ste 201 |
$16.98 | 3,631 | 3,096 |
|
Hector Guillermo Colon
Fourth Of July Street #1 |
$24.07 | 2,890 | 2,671 |
|
Jose Luis Gonzalez
15 Calle Hospital |
$17.07 | 2,185 | 1,750 |
|
Oficina Dental Dra. Valerie Cuevas Candelario, L.L.C
Ave Luis Munoz Marin Carr 155 |
$19.90 | 338 | 279 |
|
Oficina Dental Dra. Barbara Cuevas Candelario Inc.
Carr. 155 Ave. Luis Munoz Marin |
$12.80 | 303 | 267 |
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 Orocovis, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Orocovis, PR is $20.44 per claim, based on 21,084 claims from 7 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 Orocovis, PR?
There are 7 Medicaid providers offering Dental Cleaning & Exam related services in Orocovis, PR according to public payment data.
What is the price range for Dental Cleaning & Exam in Orocovis, PR?
Medicaid reimbursement for Dental Cleaning & Exam in Orocovis, PR ranges from $12.80 to $24.07 per claim, with an average of $20.44. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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