Average Medicaid Dental Cleaning & Exam Payments in Pikeville, KY: $36.38
Avg. Paid
$36.38
Range
$19.56 – $57.24
Total Claims
114,791
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 Pikeville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joshua Ray Raleigh
308 Hambley Blvd |
$34.84 | 79,129 | 76,073 |
|
Gregory Hayes Bentley
1098 S Mayo Trl |
$44.19 | 7,920 | 7,867 |
|
Jonathan Shane Hensley
126 Trivette Dr Ste 103 |
$31.23 | 7,145 | 6,633 |
|
Preeti Sahasi
126 Trivette Dr Ste 303 |
$39.27 | 5,425 | 5,239 |
|
Chad Clifton Street
129 Loraine St |
$47.69 | 4,649 | 4,380 |
|
Pike County Health Department
119 River Dr |
$57.24 | 2,318 | 2,281 |
|
Quentin T Robinette
153 Hibbard St |
$24.09 | 1,577 | 1,394 |
|
Kayla Alford
178 Douglas Pkwy |
$37.54 | 1,296 | 1,290 |
|
Pike County Health Department-Dental
119 River Dr |
$46.96 | 1,275 | 1,232 |
|
Ben Adrian Whitfield
1144 South Mayo Trail |
$30.91 | 1,040 | 1,023 |
|
Travis A Ratliff
4159 N Mayo Trl |
$19.56 | 930 | 644 |
|
Aaron Stanley
419 Town Mountain Rd Ste 201 |
$47.64 | 835 | 790 |
|
Kevin Mischel
220 Cassidy Blvd |
$41.07 | 416 | 409 |
|
Felicia Shanahan-White
142 Mayo Cir Ste 100 |
$32.32 | 368 | 363 |
|
Chonda Harris Whitfield
1144 South Mayo Trail Suite 101 |
$27.56 | 356 | 351 |
|
Kasandra Sue Cole
178 Douglas Pkwy |
$29.44 | 81 | 81 |
|
Andy Paul Keaton
384 N Mayo Trl |
$22.31 | 31 | 31 |
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 Pikeville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Pikeville, KY is $36.38 per claim, based on 114,791 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 Pikeville, KY?
There are 17 Medicaid providers offering Dental Cleaning & Exam related services in Pikeville, KY according to public payment data.
What is the price range for Dental Cleaning & Exam in Pikeville, KY?
Medicaid reimbursement for Dental Cleaning & Exam in Pikeville, KY ranges from $19.56 to $57.24 per claim, with an average of $36.38. 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
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Houston, TX
Avg $39.95
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
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Phoenix, AZ
Avg $11.18
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Avg $40.74
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