Average Medicaid Dental Cleaning & Exam Payments in San Clemente, CA: $55.07
Avg. Paid
$55.07
Range
$34.08 – $69.58
Total Claims
51,222
Providers
13
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 San Clemente, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Allison Olex
905 Calle Amanecer |
$54.38 | 23,936 | 23,775 |
|
Kent Charles Sanders
1171 Puerta Del Sol |
$58.90 | 12,000 | 11,991 |
|
Diep Kim Dang
210 Avenida Del Mar #B |
$45.76 | 5,617 | 5,601 |
|
Hossein Edalat
130 Avenida Cabrillo Ste B |
$65.86 | 4,100 | 4,092 |
|
Amir Hossein Nikraz
439 N El Camino Real |
$58.28 | 2,032 | 2,021 |
|
Mizuki Cheryl Tadokoro
943 Avenida Pico |
$43.94 | 1,174 | 1,171 |
|
Frank Joseph Mogavero
1031 Avenida Pico |
$35.00 | 885 | 885 |
|
Anmar Obaidi
657 Camino De Los Mares |
$69.58 | 632 | 632 |
|
Edmond Herbert Henken
1171 Puerta Del Sol |
$34.08 | 400 | 399 |
|
Aaron Lee
903 Calle Amanecer Ste 110 |
$59.78 | 371 | 344 |
|
Donna Stevens
1001 Avenida Pico |
$63.54 | 50 | 46 |
|
Aravinda Kumar Shetty
657 Camino De Los Mares |
$66.00 | 13 | 13 |
|
Michael John Redmond
181 Avenida Vaquero |
$35.00 | 12 | 12 |
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 San Clemente, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in San Clemente, CA is $55.07 per claim, based on 51,222 claims from 13 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 San Clemente, CA?
There are 13 Medicaid providers offering Dental Cleaning & Exam related services in San Clemente, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in San Clemente, CA?
Medicaid reimbursement for Dental Cleaning & Exam in San Clemente, CA ranges from $34.08 to $69.58 per claim, with an average of $55.07. 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 San Clemente, CA
Office Visit
Avg $29.87
104,118 claims
Physical Therapy
Avg $13.65
33,188 claims
Eye Exam
Avg $16.36
13,818 claims
Psychiatric Evaluation
Avg $116.08
11,937 claims
Emergency Room Visit
Avg $81.28
11,090 claims
Dental Filling
Avg $64.97
10,671 claims
Vaccines & Immunizations
Avg $7.68
7,687 claims
Chiropractic Care
Avg $7.55
7,549 claims