Average Medicaid Dental Cleaning & Exam Payments in Raleigh, NC: $29.35
Avg. Paid
$29.35
Range
$0.00 – $65.03
Total Claims
889,864
Providers
258
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 Raleigh, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kathleen Flynn
4551 New Bern Ave Ste 160 |
$38.01 | 12 | 12 |
|
Morgan Baltrus Fowler
4420 Lake Boone Trl |
$39.64 | 12 | 12 |
|
Mason He
4414 Lake Boone Trl Ste 103 |
$38.01 | 12 | 12 |
|
Jason Mitchell
2809 E Millbrook Rd |
$0.00 | 12 | 12 |
|
Maria Premilla Alexander
2406 Blue Ridge Rd |
$28.79 | 12 | 12 |
|
Laura June Oates
23 Sunnybrook Rd |
$29.04 | 13 | 12 |
|
John Rusher
1921 Falls Valley Drive |
$38.01 | 13 | 13 |
|
Sarah Hunt
1921 Falls Valley Drive |
$35.14 | 13 | 13 |
|
Gabriel Lira Villena
811 Spring Forest Rd |
$26.13 | 13 | 12 |
|
Hermes Yanuel Silva
2605 Blue Ridge Rd Ste 225 |
$32.16 | 13 | 12 |
|
Anna Margaret Adams
10207 Cerny St Ste 106 |
$26.32 | 14 | 14 |
|
Abigail Cordero
4551 New Bern Ave Ste 160 |
$32.73 | 14 | 12 |
|
Saba Jangda
101 Wilmot Dr |
$26.96 | 14 | 14 |
|
Han B Lee
9201 Leesville Rd Ste 160 |
$32.07 | 16 | 13 |
|
Chitra Hardikar
5306 Six Forks Rd |
$24.51 | 17 | 17 |
|
Oyegunwa & Associates Vi, Pllc
5321 Tin Roof Way Ste 101 |
$0.00 | 17 | 17 |
|
Robert Morgan
3801 Computer Dr |
$32.96 | 17 | 17 |
|
Samantha Lynne Dowell
3024 New Bern Ave |
$39.64 | 17 | 14 |
|
Robert C Helms
1921 Falls Valley Drive |
$34.87 | 24 | 24 |
|
Lucia Lily Philips
10207 Cerny St Ste 106 |
$0.00 | 25 | 25 |
|
Ping Seung Alice Wu
8729 Camden Park Dr |
$60.52 | 26 | 26 |
|
Dr Robert T Hoyle Dds Pa
6330 Falls Of Neuse Rd |
$0.00 | 27 | 27 |
|
Steven Dewayne Taylor
8105 Fayetteville Rd Ste 101 |
$14.22 | 27 | 25 |
|
Jacquelyn Maria Steen
4551 New Bern Ave |
$24.07 | 28 | 18 |
|
Martha Ferretti Muise
10 Sunnybrook Rd |
$37.70 | 28 | 25 |
|
Mark Lawrence Foster
221 W Millbrook Rd |
$5.64 | 29 | 14 |
|
Kate Elizabeth Houghtalen
3000 New Bern Ave |
$15.38 | 29 | 29 |
|
Rachel Elizabeth Lehman
2605 Blue Ridge Rd Ste 225 |
$15.20 | 30 | 26 |
|
Aaron Tropmann
5621 Departure Drive |
$34.09 | 34 | 34 |
|
Carl Arnold Exner
3201 Oaklyn Springs Dr |
$0.00 | 35 | 34 |
|
Dana Michelle Ribaudo
3801 Computer Dr Ste 200 |
$38.04 | 36 | 36 |
|
Samantha Leigh Olsen Mcclease
1921 Falls Valley Dr |
$38.01 | 36 | 27 |
|
Sarah O Asare
4551 New Bern Ave Ste 160 |
$31.64 | 38 | 31 |
|
Daniel E Grossman
8200 Creedmoor Rd |
$30.51 | 41 | 28 |
|
Don J Kindrachuk
7800 Six Forks Rd |
$22.82 | 41 | 39 |
|
Kunjan Shakya
270 Horizon Dr |
$38.96 | 42 | 41 |
|
Mary Devon Mcwilliams
2406 Blue Ridge Rd |
$39.31 | 44 | 39 |
|
Sara Marie Baldwin
3024 New Bern Ave |
$36.73 | 45 | 39 |
|
Michelle H Bae
10211 Alm St |
$19.40 | 46 | 45 |
|
Jamila Randolph Battle
8300 Health Park |
$21.48 | 46 | 46 |
|
Sri Nidhi Ganji
10 Sunnybrook Rd |
$38.36 | 47 | 47 |
|
Amelia Willis
23 Sunnybrook Rd |
$39.64 | 47 | 47 |
|
James W Britt
1921 Falls Valley Drive |
$27.61 | 51 | 50 |
|
Esther Nissao
2406 Blue Ridge Rd Ste 100 |
$33.32 | 56 | 55 |
|
Advance Community Health, Inc
1011 Rock Quarry Road |
$0.00 | 58 | 49 |
|
Johnson & Morris Pllc
2800 Wakefield Pines Drive Suite 110 |
$0.00 | 66 | 66 |
|
Eric S Campbell
9317 Leesville Rd |
$41.16 | 68 | 66 |
|
Phuong H. Batouli
12341 Strickland Rd |
$29.83 | 69 | 47 |
|
Ryan K Staehling
6500 Creedmoor Rd |
$24.82 | 70 | 70 |
|
Amy Lynn Scofield
2801 Blue Ridge Rd |
$26.44 | 71 | 68 |
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 Raleigh, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Raleigh, NC is $29.35 per claim, based on 889,864 claims from 258 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 Raleigh, NC?
There are 258 Medicaid providers offering Dental Cleaning & Exam related services in Raleigh, NC according to public payment data.
What is the price range for Dental Cleaning & Exam in Raleigh, NC?
Medicaid reimbursement for Dental Cleaning & Exam in Raleigh, NC ranges from $0.00 to $65.03 per claim, with an average of $29.35. 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
Other Procedures in Raleigh, NC
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Avg $14.74
2,273,950 claims
Office Visit
Avg $59.24
1,603,097 claims
Emergency Room Visit
Avg $139.82
911,865 claims
Psychiatric Evaluation
Avg $74.92
754,370 claims
Substance Abuse Treatment
Avg $63.03
671,403 claims
Vaccines & Immunizations
Avg $16.76
580,140 claims
Speech Therapy
Avg $62.41
512,881 claims
X-Ray
Avg $8.62
444,429 claims