Average Medicaid Dental Cleaning & Exam Payments in Sanford, NC: $29.98
Avg. Paid
$29.98
Range
$17.67 – $35.00
Total Claims
203,494
Providers
23
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 Sanford, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brandon Knockum
136 Carbonton Rd |
$28.96 | 80,877 | 78,910 |
|
Vincent Paul Vissichelli
73 Pineridge Cove |
$29.63 | 29,613 | 28,952 |
|
Nicole Harris Nelson
1013 Spring Ln |
$32.05 | 25,726 | 24,903 |
|
Jong Hoon Lee
2617 S Horner Blvd |
$31.18 | 14,456 | 13,959 |
|
Chad Kevin Hannibal
1013 Spring Ln |
$29.75 | 11,075 | 10,883 |
|
Dawn Allen Moretz
503 Carthage St. |
$29.41 | 8,531 | 7,898 |
|
Elizabeth Ann Heyn
55 Amarillo Ln |
$30.62 | 6,665 | 6,364 |
|
Jeffrey Leon Love
1400 Greenway Court |
$29.95 | 4,922 | 4,710 |
|
Ifaz B Parvez
1808 Doctors Dr |
$30.90 | 4,394 | 4,293 |
|
Jigneshkumar Ishwars Parmar
2617 S Horner Blvd |
$25.42 | 3,971 | 3,178 |
|
Chuanwen Sun
900 S Vance St Ste 250 |
$33.87 | 3,507 | 3,253 |
|
Tammy Lynn Morris Lloyd
1801 Doctors Dr |
$35.00 | 2,450 | 2,224 |
|
Mindy Deason Marlowe
1801 Doctors Dr |
$34.55 | 2,383 | 2,130 |
|
Cary Keifer
1801 Doctors Dr |
$34.21 | 1,701 | 1,471 |
|
Sidney Brooks
55 Amarillo Lane |
$29.88 | 1,596 | 1,558 |
|
Tiffany Jones Petty
1801 Doctors Dr |
$29.56 | 412 | 396 |
|
Carlos Henrique Ribeiro Camargo
2617 S Horner Blvd |
$32.16 | 384 | 343 |
|
David Sungku Lee
407 Tiffany Dr |
$20.71 | 359 | 267 |
|
Julia Self Watkins
4300 Oak Park Rd |
$33.26 | 179 | 168 |
|
John David Fisher
1808 Doctors Dr |
$20.10 | 172 | 131 |
|
Thomas C. Hincks
304 Hawkins Ave |
$17.67 | 60 | 42 |
|
Janice E Aton
1688 S Horner Blvd |
$33.01 | 45 | 45 |
|
Jennifer B Normann
555 Carthage St |
$28.51 | 16 | 13 |
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 Sanford, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Sanford, NC is $29.98 per claim, based on 203,494 claims from 23 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 Sanford, NC?
There are 23 Medicaid providers offering Dental Cleaning & Exam related services in Sanford, NC according to public payment data.
What is the price range for Dental Cleaning & Exam in Sanford, NC?
Medicaid reimbursement for Dental Cleaning & Exam in Sanford, NC ranges from $17.67 to $35.00 per claim, with an average of $29.98. 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
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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