Average Medicaid Dental Cleaning & Exam Payments in San Marcos, TX: $44.36
Avg. Paid
$44.36
Range
$28.13 – $47.86
Total Claims
41,086
Providers
12
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, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah Marie Severson
1890 Medical Pkwy |
$47.86 | 9,444 | 9,277 |
|
Josefina Villanueva Martinez
310 Stagecoach Trl Ste 1000 |
$46.81 | 7,638 | 7,570 |
|
Roel Gonzalez
1320 Wonder World Dr Ste 103 |
$44.62 | 7,548 | 7,127 |
|
Jerry Westover
651 Barnes Dr Ste 205 |
$38.22 | 5,418 | 5,087 |
|
Jamshaid Aslam Khan
900 Bugg Ln |
$42.54 | 5,328 | 5,278 |
|
Mai Ashley Luk
1890 Medical Pkwy |
$46.74 | 3,556 | 3,534 |
|
Laura Tsu
200 Springtown Way Ste 108 |
$40.02 | 946 | 894 |
|
Omar I Guerra
1305 Wonder World Dr. |
$34.72 | 480 | 444 |
|
Mayuri Rataul
1890 Medical Pkwy |
$28.23 | 421 | 405 |
|
Charles Nelson Reeves
1346 Thorpe Ln |
$33.46 | 195 | 188 |
|
Emily Elizabeth Parell
651 Barnes Dr Ste 205 |
$28.13 | 79 | 73 |
|
Kieran Mullarney
1320 Wonder World Dr Ste 103 |
$36.03 | 33 | 33 |
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, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in San Marcos, TX is $44.36 per claim, based on 41,086 claims from 12 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, TX?
There are 12 Medicaid providers offering Dental Cleaning & Exam related services in San Marcos, TX according to public payment data.
What is the price range for Dental Cleaning & Exam in San Marcos, TX?
Medicaid reimbursement for Dental Cleaning & Exam in San Marcos, TX ranges from $28.13 to $47.86 per claim, with an average of $44.36. 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
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Avg $20.46
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Avg $22.41
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