Average Medicaid Dental Cleaning & Exam Payments in Pflugerville, TX: $40.67
Avg. Paid
$40.67
Range
$17.77 – $50.41
Total Claims
96,014
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 Pflugerville, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charles Norman Alston
1620 Grand Avenue Pkwy Ste 130 |
$33.65 | 28,794 | 27,321 |
|
Roshan S Patel
1102 Connemara Ln |
$50.41 | 20,693 | 20,528 |
|
Mariam Ahmad
303 Ambrose Dr |
$38.06 | 14,110 | 14,066 |
|
Laresea Woods
1620 Grand Avenue Pkwy Ste 130 |
$42.29 | 9,519 | 8,972 |
|
Anthony D. Bain
619 Heatherwilde Blvd |
$39.54 | 8,057 | 7,805 |
|
Keaton Shin
17315 Arcata Ave |
$47.01 | 5,227 | 5,092 |
|
John Schneider
1912 W Pecan St Ste A103 |
$39.58 | 3,072 | 2,821 |
|
Nabila Cyrene
2424 Fm 685 Ste 400 |
$40.56 | 2,154 | 2,065 |
|
Robert K Hendricks
1912 W Pecan St |
$47.93 | 1,843 | 1,823 |
|
Ankur Jayendra Desai
15424 Fm 1825 Ste 120 |
$34.64 | 1,192 | 1,175 |
|
Yvonne Ho Tran
15424 Fm 1825 Ste 120 |
$37.33 | 1,112 | 1,105 |
|
Hussam Asker
1500 S Heatherwilde Blvd # 300 |
$48.45 | 86 | 85 |
|
Diana Yaritza Flores-Rodriguez
18817 N Heatherwilde Blvd Bldg 1-100 |
$32.20 | 59 | 59 |
|
Kristen Campbell Hendricks
1912 W Pecan St |
$28.78 | 49 | 47 |
|
Lekeba Tier Granger
1553 Fm 685 Ste 400 |
$38.23 | 20 | 20 |
|
May Al Jassani
20812 Christie Marie Ln |
$17.77 | 15 | 15 |
|
Lakshmi Priya Balaraman
305 N Heatherwilde Blvd Bldg D |
$28.85 | 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 Pflugerville, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Pflugerville, TX is $40.67 per claim, based on 96,014 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 Pflugerville, TX?
There are 17 Medicaid providers offering Dental Cleaning & Exam related services in Pflugerville, TX according to public payment data.
What is the price range for Dental Cleaning & Exam in Pflugerville, TX?
Medicaid reimbursement for Dental Cleaning & Exam in Pflugerville, TX ranges from $17.77 to $50.41 per claim, with an average of $40.67. 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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Avg $40.74
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Other Procedures in Pflugerville, TX
Vaccines & Immunizations
Avg $4.41
41,590 claims
Office Visit
Avg $42.42
40,957 claims
Speech Therapy
Avg $91.93
17,215 claims
Emergency Room Visit
Avg $104.64
16,270 claims
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Avg $79.73
16,264 claims
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Avg $78.34
12,541 claims
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Avg $2.58
11,602 claims
Nursing Facility Care
Avg $5.37
7,530 claims