Average Medicaid Dental Cleaning & Exam Payments in Pelham, AL: $23.15
Avg. Paid
$23.15
Range
$21.81 – $28.40
Total Claims
107,664
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 Pelham, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cory Beattie White
162 Sugar Drive |
$22.21 | 33,490 | 29,389 |
|
Juliana La Rota Jones
2490 Pelham Pkwy |
$23.36 | 27,640 | 27,180 |
|
Shelby Pediatric Dentistry, Pc
2490 Pelham Parkway |
$24.42 | 16,955 | 15,159 |
|
Richard Turner Baxter
2490 Pelham Pkwy |
$22.12 | 14,076 | 13,801 |
|
Rosalynn Yvette Crawford-Mckendall
6496 Quail Run Dr |
$23.52 | 9,558 | 9,222 |
|
Taylor B.H. Mcfarland
2490 Pelham Pkwy |
$27.30 | 3,171 | 3,138 |
|
Brigitte Barnes Trego
2490 Pelham Pkwy |
$22.86 | 1,870 | 1,804 |
|
Indian Springs Pediatric Dentistry, L.L.C.
6496 Quail Run Dr |
$28.40 | 534 | 516 |
|
Darryl Lynn Waid
102 Hilltop Business Ctr. Dr. |
$23.80 | 317 | 296 |
|
Soon Yoon
131 Indiancreek Dr |
$21.81 | 53 | 53 |
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 Pelham, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Pelham, AL is $23.15 per claim, based on 107,664 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 Pelham, AL?
There are 10 Medicaid providers offering Dental Cleaning & Exam related services in Pelham, AL according to public payment data.
What is the price range for Dental Cleaning & Exam in Pelham, AL?
Medicaid reimbursement for Dental Cleaning & Exam in Pelham, AL ranges from $21.81 to $28.40 per claim, with an average of $23.15. 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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Avg $39.95
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Bronx, NY
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New York, NY
Avg $30.52
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Avg $40.74
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Other Procedures in Pelham, AL
Office Visit
Avg $70.26
34,788 claims
Blood Work & Lab Tests
Avg $22.06
34,352 claims
Physical Therapy
Avg $46.62
29,558 claims
Speech Therapy
Avg $51.51
26,754 claims
Eye Exam
Avg $29.59
19,827 claims
Dental Filling
Avg $70.59
18,753 claims
Psychiatric Evaluation
Avg $64.06
14,583 claims
Durable Medical Equipment (DME)
Avg $22.89
9,363 claims