Average Medicaid Dental Cleaning & Exam Payments in San Marcos, CA: $50.15
Avg. Paid
$50.15
Range
$21.55 – $76.54
Total Claims
250,683
Providers
22
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 Marcos, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marjan Rashedi
838 Nordahl Rd Ste 125 |
$55.61 | 100,975 | 100,385 |
|
Ali Asgari
327 S Rancho Santa Fe Rd |
$45.48 | 52,823 | 52,699 |
|
Erin Anne Kolling
21219 Questhaven Rd |
$46.88 | 43,874 | 43,744 |
|
Khatereh N/A Tolooei
1421 N Las Flores Dr |
$21.55 | 9,433 | 9,374 |
|
Sinan Shisha
169 S Rancho Santa Fe Rd |
$38.90 | 6,735 | 6,681 |
|
Laura Takahashi Deyo
1293 Holmgrove Dr |
$34.37 | 6,501 | 6,452 |
|
Bruce William Adams
555 S Rancho Santa Fe Rd |
$64.96 | 4,690 | 4,670 |
|
Tyler E Nelson
950 Boardwalk Ste 100 |
$65.41 | 4,677 | 4,644 |
|
Roxanne N Kobayashi
1 Civic Center Dr Ste 110 |
$62.12 | 3,790 | 3,771 |
|
Nikki Shafiei
555 S Rancho Santa Fe Rd Ste 101 |
$28.50 | 3,613 | 3,602 |
|
Daniel Richard Huffmire
955 Boardwalk Ste 103 |
$48.00 | 3,469 | 3,467 |
|
Jorge Alberto Urrea
100 N Rancho Santa Fe Rd |
$76.27 | 3,196 | 3,174 |
|
Kathryn A Dardis
838 Nordahl Rd Ste 145 |
$57.28 | 2,520 | 2,471 |
|
Youngseok Seo
150 Valpreda Rd |
$76.54 | 2,337 | 2,330 |
|
Vida Namavar
670 W San Marcos Blvd |
$65.60 | 643 | 636 |
|
Kyung Lee Boen
1786 Avenida Regina |
$49.03 | 415 | 415 |
|
Babak Shahrokh
1257 Armorlite Dr Apt 308 |
$66.62 | 354 | 354 |
|
Ashley Ingram
740 Nordahl Rd Ste 121 |
$73.57 | 233 | 231 |
|
Thanh Hoai Pham
277 S Rancho Santa Fe Rd |
$51.66 | 176 | 174 |
|
Rima Chehade Shahhal
740 Nordahl Rd Ste 121 |
$66.00 | 114 | 114 |
|
Sereana Zaiser
663 S Rancho Santa Fe Rd # 179 |
$70.00 | 63 | 62 |
|
Johnathan H Tran
150 Valpreda Rd |
$30.00 | 52 | 51 |
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 Marcos, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in San Marcos, CA is $50.15 per claim, based on 250,683 claims from 22 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 Marcos, CA?
There are 22 Medicaid providers offering Dental Cleaning & Exam related services in San Marcos, CA according to public payment data.
What is the price range for Dental Cleaning & Exam in San Marcos, CA?
Medicaid reimbursement for Dental Cleaning & Exam in San Marcos, CA ranges from $21.55 to $76.54 per claim, with an average of $50.15. 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
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