Average Medicaid Dental Cleaning & Exam Payments in San Juan Capistrano, CA: $51.98
Avg. Paid
$51.98
Range
$35.17 – $90.00
Total Claims
87,042
Providers
14
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 Juan Capistrano, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mehrdokht Mehrvarzi
31952 Camino Capistrano |
$45.00 | 13 | 13 |
|
Mojgan Niktash
31726 Rancho Viejo Rd |
$90.00 | 13 | 13 |
|
Luis J Riberos
31654 Rancho Viejo Rd Ste I-1 |
$78.00 | 24 | 24 |
|
Maryam Ekhtiar
31897 Del Obispo St |
$49.43 | 188 | 187 |
|
Michael Jong-Gyu Kim
27382 Calle Arroyo |
$35.17 | 328 | 316 |
|
Arusha Bhatia
31103 Rancho Viejo Rd |
$56.25 | 417 | 417 |
|
Priya Tripathi Ganju
31103 Rancho Viejo Rd |
$43.29 | 835 | 835 |
|
Nader D Ghiassi
27231 Ortega Hwy Ste A |
$38.07 | 1,680 | 1,675 |
|
Ghassan Mehtar
32281 Camino Capistrano |
$49.65 | 6,617 | 6,600 |
|
Monica Desai
32281 Camino Capistrano |
$49.39 | 8,446 | 8,379 |
|
Kirk Matthew Hobock
32382 Del Obispo St |
$57.70 | 11,127 | 11,045 |
|
Geetika Virk
28791 Calle Posada |
$52.25 | 12,818 | 12,779 |
|
Ruben Sandu
32112 Camino Capistrano |
$55.49 | 19,864 | 19,813 |
|
Carlos H Restrepo
31920 Del Obispo St |
$49.34 | 24,672 | 24,513 |
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 Juan Capistrano, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in San Juan Capistrano, CA is $51.98 per claim, based on 87,042 claims from 14 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 Juan Capistrano, CA?
There are 14 Medicaid providers offering Dental Cleaning & Exam related services in San Juan Capistrano, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in San Juan Capistrano, CA?
Medicaid reimbursement for Dental Cleaning & Exam in San Juan Capistrano, CA ranges from $35.17 to $90.00 per claim, with an average of $51.98. 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
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
3,240,448 claims · 723 providers
Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
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Avg $5.22
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Avg $22.53
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Avg $98.59
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