Average Medicaid Dental Cleaning & Exam Payments in Portsmouth, VA: $26.26
Avg. Paid
$26.26
Range
$0.00 – $62.66
Total Claims
321,342
Providers
33
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 Portsmouth, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pediatric Dental Care Of Tidewater Pc
5915 High Street West |
$0.00 | 17 | 12 |
|
Alicia Lang Mcclung
6224 Portsmouth Blvd |
$33.48 | 25 | 25 |
|
Koby Ferguson
620 John Paul Jones Cir |
$0.00 | 70 | 69 |
|
Tom Edward Eldridge
620 John Paul Jones Cir |
$18.71 | 128 | 120 |
|
Angela Lanier
5589 Portsmouth Blvd |
$15.48 | 139 | 133 |
|
Sahar Nourollahi
620 John Paul Jones Cir |
$0.00 | 194 | 194 |
|
Vijay Anthony Mohamed
3219 Stamford Rd |
$31.05 | 195 | 190 |
|
Juan C Beteta
620 John Paul Jones Cir |
$27.52 | 226 | 194 |
|
Kenneth Bradley Reynolds
1307 Airline Blvd |
$28.20 | 374 | 363 |
|
Leslie Lang Bello
6224 Portsmouth Blvd |
$26.83 | 557 | 554 |
|
Fallon Chamberlin Berger
Naval Medical Center Portsmouth |
$5.98 | 672 | 669 |
|
Michael Dale Turck
Navy Medical Center Portsmouth |
$0.00 | 730 | 729 |
|
Richard A. Mckinney
620 John Paul Jones Circle |
$36.26 | 796 | 734 |
|
Anita Lynnette Brabson
3620 County St |
$27.13 | 864 | 762 |
|
Michael G Borchik
Naval Medical Center Portsmouth |
$62.66 | 964 | 964 |
|
Elizabeth Mojares
664 Lincoln St |
$20.16 | 1,085 | 770 |
|
Holly M Meise
5915 High St W |
$28.85 | 1,097 | 1,085 |
|
Monleudy Keo Bracken
4072 Victory Blvd |
$33.93 | 1,341 | 1,320 |
|
Hillary Anne Diffee
620 John Paul Jones Cir |
$3.59 | 1,557 | 1,557 |
|
Francis William Lesinski
4409 George Washington Hwy |
$36.66 | 2,337 | 2,332 |
|
Erin Shari Bailey
Naval Medical Center Portsmouth |
$22.85 | 2,888 | 2,888 |
|
James Nelson Rhodes
1305 Rodman Ave |
$21.00 | 4,097 | 4,009 |
|
Stanley Drew Moss
6224 Portsmouth Blvd |
$28.09 | 5,814 | 5,694 |
|
Robin Y Langston
664 Lincoln St |
$26.31 | 6,771 | 5,961 |
|
Laurie Birsch
3413 South St |
$24.06 | 7,923 | 7,816 |
|
Christina Coleman
5915 High St W |
$17.96 | 16,264 | 16,032 |
|
Mariella B Connors
6224 Portsmouth Blvd Ste 300 |
$43.19 | 21,480 | 21,261 |
|
Bruce Haggerty
4072 Victory Blvd |
$22.30 | 25,128 | 23,592 |
|
Steven Lee Lang
6224 Portsmouth Blvd |
$26.86 | 35,745 | 35,326 |
|
Jb Martin
446 Effingham St Fl 1 |
$26.51 | 37,346 | 36,743 |
|
Roopa S Murthy
5915 High Street West |
$23.57 | 41,969 | 41,229 |
|
Lisa D Kelly
4072 Victory Blvd |
$24.96 | 46,988 | 46,400 |
|
Morgan Trey Weis
5915 High St W |
$27.23 | 55,561 | 54,219 |
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 Portsmouth, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Portsmouth, VA is $26.26 per claim, based on 321,342 claims from 33 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 Portsmouth, VA?
There are 33 Medicaid providers offering Dental Cleaning & Exam related services in Portsmouth, VA according to public payment data.
What is the price range for Dental Cleaning & Exam in Portsmouth, VA?
Medicaid reimbursement for Dental Cleaning & Exam in Portsmouth, VA ranges from $0.00 to $62.66 per claim, with an average of $26.26. 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
3,990,780 claims · 877 providers
Houston, TX
Avg $39.95
3,744,881 claims · 918 providers
Bronx, NY
Avg $31.12
3,317,284 claims · 478 providers
New York, NY
Avg $30.52
3,240,448 claims · 723 providers
Phoenix, AZ
Avg $11.18
2,295,389 claims · 350 providers
San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
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