Average Medicaid Dental Cleaning & Exam Payments in Seguin, TX: $44.82
Avg. Paid
$44.82
Range
$28.79 – $49.49
Total Claims
165,567
Providers
11
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 Seguin, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anas Hakimeh
901 N Hwy 123 Bypass |
$46.39 | 41,367 | 40,741 |
|
Alfred Burns
901 S Hwy 123 Bypass |
$45.39 | 36,981 | 36,514 |
|
Dorothy Marie Causey
901 S Highway 123 Byp |
$48.13 | 29,375 | 29,078 |
|
Esteban Velez
128 S Moss St Ste 200 |
$43.52 | 15,423 | 14,420 |
|
Kristopher K Bennion
751 Best Dr Ste D |
$37.12 | 15,278 | 14,979 |
|
Jaime Simmons
901 S Highway 123 Byp |
$49.49 | 12,034 | 11,745 |
|
Tejash Patel
1417 E Walnut St Ste 100 |
$42.68 | 7,961 | 7,863 |
|
Jason Hunt
1467 E Court St |
$35.48 | 2,784 | 2,636 |
|
William Parell
1467 E Court St |
$28.79 | 1,933 | 1,880 |
|
Allan Rodrigo Jauregui
1507 E Court St Ste 107 |
$35.49 | 1,664 | 1,602 |
|
Stephanie Dian Jones
1460 Eastwood Dr |
$29.06 | 767 | 767 |
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 Seguin, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Seguin, TX is $44.82 per claim, based on 165,567 claims from 11 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 Seguin, TX?
There are 11 Medicaid providers offering Dental Cleaning & Exam related services in Seguin, TX according to public payment data.
What is the price range for Dental Cleaning & Exam in Seguin, TX?
Medicaid reimbursement for Dental Cleaning & Exam in Seguin, TX ranges from $28.79 to $49.49 per claim, with an average of $44.82. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
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Other Procedures in Seguin, TX
Office Visit
Avg $49.94
92,173 claims
Blood Work & Lab Tests
Avg $6.04
59,614 claims
Emergency Room Visit
Avg $118.79
44,582 claims
Vaccines & Immunizations
Avg $5.37
40,618 claims
Urinalysis & Urine Tests
Avg $7.99
24,226 claims
Psychiatric Evaluation
Avg $26.45
15,526 claims
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Avg $80.91
14,645 claims
EKG / ECG (Electrocardiogram)
Avg $7.30
12,499 claims