Average Medicaid Dental Cleaning & Exam Payments in Prosper, TX: $37.49
Avg. Paid
$37.49
Range
$19.15 – $45.81
Total Claims
44,977
Providers
15
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 Prosper, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Fatima Khan
811 Twin Buttes Dr |
$44.67 | 11,048 | 10,831 |
|
Christina Lun
2120 Prairie Dr Ste 202 |
$45.81 | 7,002 | 6,909 |
|
Samuel Bo Rum Oh
3620 W 1St St Ste 40 |
$27.50 | 6,241 | 6,100 |
|
Steven Kent Mann
1180 N Preston Rd Ste 20 |
$28.08 | 4,017 | 3,798 |
|
Ke Huang
1180 N Preston Rd Ste 20 |
$38.57 | 3,002 | 2,869 |
|
Nejay Pauline Ananaba
790 N Preston Rd Ste 10 |
$31.88 | 2,210 | 2,111 |
|
Melika Shayegh
1180 N Preston Rd Ste 20 |
$38.60 | 2,094 | 1,732 |
|
Lauren Louis
1180 N Coit Rd Ste 50 |
$43.73 | 2,040 | 1,997 |
|
Adrian Bertulfo
900 S Preston Rd |
$38.20 | 1,893 | 1,867 |
|
Marwan S Al-Daggistany
4451 Autumn Sage Dr |
$28.14 | 1,735 | 1,709 |
|
Sean Michael Feely
711 Alton Dr |
$35.26 | 1,549 | 1,503 |
|
Julia Kai-Chin Peng
2200 E Prosper Trl Ste 40 |
$26.47 | 1,456 | 1,270 |
|
My Phuong Pham Matthews
1640 W Frontier Pkwy Suite 150 |
$19.15 | 458 | 455 |
|
Jason Xin Chen
900 S Preston Rd # 70 |
$35.26 | 141 | 141 |
|
Noor Imad Al Nuaimi
16012 Benbrook Blvd |
$33.51 | 91 | 91 |
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 Prosper, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Prosper, TX is $37.49 per claim, based on 44,977 claims from 15 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 Prosper, TX?
There are 15 Medicaid providers offering Dental Cleaning & Exam related services in Prosper, TX according to public payment data.
What is the price range for Dental Cleaning & Exam in Prosper, TX?
Medicaid reimbursement for Dental Cleaning & Exam in Prosper, TX ranges from $19.15 to $45.81 per claim, with an average of $37.49. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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Other Procedures in Prosper, TX
Emergency Room Visit
Avg $138.46
89,749 claims
Office Visit
Avg $51.73
70,106 claims
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Avg $6.32
26,782 claims
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Avg $12.05
10,575 claims
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Avg $104.10
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Avg $81.60
7,115 claims
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Avg $12.02
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Avg $79.30
4,344 claims