Average Medicaid Dental Cleaning & Exam Payments in Rancho Santa Margarita, CA: $56.20
Avg. Paid
$56.20
Range
$4.19 – $84.74
Total Claims
10,214
Providers
9
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 Rancho Santa Margarita, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Scott Fridlind
22032 El Paseo |
$26.11 | 119 | 118 |
|
Marjan Arman
30451 Avenida De Las Flores Unit C |
$38.94 | 157 | 149 |
|
Azin Sharif
10 Calle Albarda |
$66.13 | 234 | 233 |
|
Scott Karafin
22195 El Paseo |
$66.72 | 591 | 587 |
|
Jeanne Thi Nguyen
29941 Aventura |
$53.47 | 944 | 941 |
|
Mehran Rastegar-Lari
22391 Antonio Pkwy Ste J200 |
$4.19 | 1,102 | 723 |
|
Radha Wuppalapati
16 Via Caseta |
$32.79 | 1,996 | 1,966 |
|
Jamie H Tran
30212 Tomas Ste 260 |
$66.00 | 2,152 | 2,141 |
|
Mahasty Mahooty
57 Via Pausa |
$84.74 | 2,919 | 2,915 |
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 Rancho Santa Margarita, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Rancho Santa Margarita, CA is $56.20 per claim, based on 10,214 claims from 9 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 Rancho Santa Margarita, CA?
There are 9 Medicaid providers offering Dental Cleaning & Exam related services in Rancho Santa Margarita, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in Rancho Santa Margarita, CA?
Medicaid reimbursement for Dental Cleaning & Exam in Rancho Santa Margarita, CA ranges from $4.19 to $84.74 per claim, with an average of $56.20. 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 Rancho Santa Margarita, CA
Office Visit
Avg $27.18
39,314 claims
Physical Therapy
Avg $9.85
21,126 claims
Eye Exam
Avg $17.26
9,920 claims
Speech Therapy
Avg $2.06
6,513 claims
Vaccines & Immunizations
Avg $3.28
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Emergency Room Visit
Avg $25.27
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Psychiatric Evaluation
Avg $66.19
2,858 claims
Root Canal
Avg $445.00
1,387 claims