Average Medicaid Dental Cleaning & Exam Payments in Sheffield, AL: $19.43
Avg. Paid
$19.43
Range
$1.07 – $24.03
Total Claims
4,823
Providers
5
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 Sheffield, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher Baylis Nester
398 Ashe Blvd |
$23.36 | 2,008 | 1,824 |
|
Jonathan Frederick
398 Ashe Blvd |
$23.57 | 1,272 | 1,122 |
|
Oral & Facial Surgery Of The Shoals, L.L.C.
398 Ashe Blvd |
$1.07 | 816 | 678 |
|
Mark Ray Mcilwain
398 Ashe Blvd |
$24.03 | 507 | 449 |
|
Bryan Keith Rushing
4012 Hatch Blvd |
$17.06 | 220 | 183 |
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 Sheffield, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Sheffield, AL is $19.43 per claim, based on 4,823 claims from 5 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 Sheffield, AL?
There are 5 Medicaid providers offering Dental Cleaning & Exam related services in Sheffield, AL according to public payment data.
What is the price range for Dental Cleaning & Exam in Sheffield, AL?
Medicaid reimbursement for Dental Cleaning & Exam in Sheffield, AL ranges from $1.07 to $24.03 per claim, with an average of $19.43. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Sheffield, AL
Office Visit
Avg $53.81
142,244 claims
Ambulance Transport
Avg $45.18
51,933 claims
X-Ray
Avg $5.81
47,635 claims
Emergency Room Visit
Avg $66.14
41,056 claims
Blood Work & Lab Tests
Avg $12.76
34,600 claims
Substance Abuse Treatment
Avg $60.82
30,914 claims
Vaccines & Immunizations
Avg $13.64
24,464 claims
Urinalysis & Urine Tests
Avg $2.09
23,001 claims