Average Medicaid Dental Cleaning & Exam Payments in San Juan, PR: $20.92
Avg. Paid
$20.92
Range
$0.00 – $44.47
Total Claims
561,409
Providers
181
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, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marvin Alameda
104 Calle Violeta |
$20.43 | 36,795 | 29,611 |
|
Carlos Javier Maldonado
390 Calle San Claudio |
$22.17 | 20,374 | 16,678 |
|
Minerva Nunez
755 Ave De Diego |
$20.78 | 19,121 | 15,647 |
|
Teresita Alodia Busquets
525 Ave Fd Roosevelt |
$18.30 | 17,069 | 15,253 |
|
Raul Fernando Montilla
20 Calle Washington |
$19.85 | 15,184 | 13,451 |
|
Linette Maldonado Lugo
356 Ave Americo Miranda |
$19.54 | 14,323 | 12,438 |
|
Lauramar Sotomayor
1300 Calle Atenas # Villas |
$18.27 | 13,832 | 11,962 |
|
Anibal Rodriguez-Caban
597 Ave Barbosa Urb Valencia |
$19.00 | 13,672 | 11,696 |
|
Felix Ariel Alvarez
1202 Ave Ponce De Leon |
$20.21 | 13,195 | 11,365 |
|
Neyza E. Garay
#2004 Ave Borinquen |
$20.51 | 12,310 | 10,513 |
|
Nanette Marie Figueroa
1959 Calle Loiza Ste 301 |
$31.17 | 12,164 | 11,417 |
|
Carla M Fidalgo Alvarado
Calle Luis Caballer #1213 Esq. Carmen Hernandez |
$21.38 | 11,507 | 9,480 |
|
Sandra Patricia Cerda
281 Ave Jesus T Pinero |
$17.24 | 11,318 | 9,630 |
|
Francisco Ojeda Bigorra
76 Calle Georgetti |
$20.34 | 10,050 | 7,757 |
|
Federico Augusto Souffront
1511 Calle Loiza |
$19.47 | 10,044 | 8,682 |
|
Zoraima De Lourdes Negron
380 Calle Cesar Gonzalez |
$21.28 | 9,688 | 8,801 |
|
Juan Ramon Miranda
71 Calle Arzuaga |
$21.95 | 9,680 | 8,127 |
|
Benanette Medina
Pineiro Ave |
$19.27 | 8,845 | 6,882 |
|
Raul A Delgado
U3-12 Carr 21 |
$20.75 | 8,801 | 7,773 |
|
Soharis Mari Ramos Colon
Urb. Floral Park Calle Duarte 229 Suite 4A |
$20.23 | 8,302 | 6,358 |
|
Ellis I Hernandez
1212 Calle Cadiz |
$21.00 | 7,683 | 6,406 |
|
Jose R Llop
282 Ave Domenech |
$13.58 | 7,553 | 4,699 |
|
Fernando A Zambrana
255 Coll Y Toste St |
$23.13 | 7,347 | 5,917 |
|
Anaida Coronado
Calle Hollywood Dr. 7 |
$20.40 | 7,053 | 6,545 |
|
Heather Ruiz - Weaver
Ave. Paz Granela |
$19.24 | 6,955 | 5,853 |
|
Carlos D Perez
958 Calle Cecilio Lebron |
$20.66 | 6,431 | 5,916 |
|
Wanda Ivelisse Garcia
Camino Los Romeros, Carr.842, Km12.1,Caimito |
$22.42 | 6,343 | 5,389 |
|
Dagnes Y Calderon
G15 Calle 8 |
$18.08 | 6,111 | 5,158 |
|
Ana Laura Hernandez
1324 Ave San Alfonso |
$19.89 | 6,065 | 6,017 |
|
Nicole Marie Maldonado
390 Calle San Claudio |
$20.91 | 6,062 | 5,509 |
|
Maria Ivelisse Berrios
Winston Churchill Avenue |
$18.74 | 5,921 | 5,409 |
|
Doris R Maury
502 Calle Luis Muniz Souffront |
$19.56 | 5,764 | 4,850 |
|
Yanira Lopez Aquino
Bo Monacillos |
$21.26 | 5,629 | 5,312 |
|
Diana Rubayo Garcia
Ponce De Leon 735, Torre Medica Auxilio Mutuo |
$22.49 | 5,562 | 4,687 |
|
Isabel Liranza Dominguez
1057 Calle William Jones |
$20.25 | 5,313 | 4,570 |
|
Angel Manuel Otero
Fdr 525 |
$20.79 | 5,292 | 4,885 |
|
Hpm Foundation Inc
2020 Ave Borinquen |
$24.46 | 5,211 | 3,941 |
|
Juan C. Aponte
709 Calle Miramar |
$15.63 | 5,155 | 4,248 |
|
Jose M Gonzalez
1735 Jesus T Pinero Ave. |
$18.52 | 4,823 | 4,179 |
|
Noel Joaquin Aymat
282 Ave Pinero |
$15.88 | 4,682 | 4,000 |
|
Maria M Mcconnie
Road 21 T-3 #6 Las Lomas |
$20.80 | 4,653 | 4,247 |
|
Alex Maldonado Perez
Universidad De Puerto Rico, Recinto De Ciencias Medicas |
$25.71 | 4,570 | 4,040 |
|
Rvp Dental Medical Center, Llc
229 Calle Duarte |
$24.88 | 4,482 | 3,358 |
|
Johana Garcia
653 Calle Hipodromo Ste 203 |
$21.11 | 4,245 | 3,431 |
|
Jose Guillermo Ramirez
914 Calle Eider |
$20.90 | 4,231 | 3,343 |
|
Norma Iris De Leon-Tellado
255 Calle Eleonor Roosevelt |
$21.03 | 4,198 | 3,602 |
|
Grupo Dental Pediatrico San Juan Csp
576 Ave Cesar Gonzalez Suite 307 |
$21.56 | 4,196 | 2,939 |
|
Ricardo Javier Jimenez-Bosch
Doral Financial Plaza 1451 Roosevelt Avenue |
$35.48 | 3,978 | 3,330 |
|
Juan F. Bravo-Figueroa
112 Calle Arzuaga |
$20.91 | 3,919 | 3,411 |
|
Fernando Alberto Oliver Auffant
Ave. Escorial #551 ,Caparra Heights |
$21.81 | 3,868 | 3,250 |
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, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in San Juan, PR is $20.92 per claim, based on 561,409 claims from 181 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, PR?
There are 181 Medicaid providers offering Dental Cleaning & Exam related services in San Juan, PR according to public payment data.
What is the price range for Dental Cleaning & Exam in San Juan, PR?
Medicaid reimbursement for Dental Cleaning & Exam in San Juan, PR ranges from $0.00 to $44.47 per claim, with an average of $20.92. 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 Juan, PR
Office Visit
Avg $18.99
3,140,039 claims
Blood Work & Lab Tests
Avg $9.31
1,652,042 claims
Pathology & Lab Services
Avg $77.12
603,331 claims
X-Ray
Avg $9.69
517,944 claims
Emergency Room Visit
Avg $66.54
406,486 claims
Urinalysis & Urine Tests
Avg $3.33
343,385 claims
Eye Exam
Avg $38.11
328,091 claims
Psychiatric Evaluation
Avg $9.96
280,724 claims