Average Medicaid Dental Cleaning & Exam Payments in Pharr, TX: $41.57
Avg. Paid
$41.57
Range
$27.01 – $51.96
Total Claims
135,470
Providers
18
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 Pharr, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jesus Hector Trevino
413 W Sam Houston Blvd |
$43.19 | 21,283 | 21,213 |
|
Khanh Ha
1300 S Cage Blvd Ste K |
$40.52 | 20,814 | 19,145 |
|
Maria De Jesus Rodriguez
1002 W Sam Houston St Ste 6 |
$43.85 | 17,491 | 17,393 |
|
Winona Shawn Trevino
413 W Sam Houston Blvd |
$44.97 | 17,214 | 17,104 |
|
Tory Paul Mcfarlin
1002 W Sam Houston Blvd Ste 6 |
$36.93 | 13,928 | 13,916 |
|
Liliana Silva
1104 W Sam Houston Blvd Unit A |
$43.37 | 11,714 | 11,295 |
|
Stephen Anthony Hernandez
8001 S Jackson Rd Ste 4 |
$51.96 | 6,573 | 6,540 |
|
Diana Woo Paparelli
710 S Cage Blvd |
$38.68 | 6,264 | 6,217 |
|
Nandita Nanda
1201 S Jackson Rd |
$30.75 | 4,082 | 3,940 |
|
Iris Barrera
1002 W Sam Houston Blvd |
$36.02 | 4,080 | 4,010 |
|
Elizabeth Gonzalez
7013 S. Cage Ste A |
$43.43 | 3,682 | 3,675 |
|
Luz Esther Martinez
805 N Cage Blvd |
$36.07 | 3,015 | 2,931 |
|
Francesca Barbin
1701 S. Cage Blvd. Suite 100 |
$37.01 | 1,949 | 1,848 |
|
Casandra Lynn Barnes
7311 S Jackson Rd Ste 100 |
$34.54 | 1,028 | 1,013 |
|
Nicholas Quach
1501 W Sam Houston Blvd |
$30.15 | 990 | 912 |
|
Khuong Trong Ho
7311 S Jackson Rd |
$33.90 | 947 | 929 |
|
Jorge Castillo
805 N Cage Blvd |
$27.01 | 342 | 316 |
|
Daniel Kent Miller
1104 W Sam Houston St |
$28.46 | 74 | 73 |
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 Pharr, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Pharr, TX is $41.57 per claim, based on 135,470 claims from 18 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 Pharr, TX?
There are 18 Medicaid providers offering Dental Cleaning & Exam related services in Pharr, TX according to public payment data.
What is the price range for Dental Cleaning & Exam in Pharr, TX?
Medicaid reimbursement for Dental Cleaning & Exam in Pharr, TX ranges from $27.01 to $51.96 per claim, with an average of $41.57. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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