Average Medicaid Dental Cleaning & Exam Payments in Shelby, NC: $30.72
Avg. Paid
$30.72
Range
$22.25 – $38.85
Total Claims
80,888
Providers
29
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 Shelby, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Philip Frederic Jiamachello
221 Simpson Park Rd |
$29.19 | 14,404 | 13,964 |
|
Austin Gardner Webb
805 W Warren St |
$36.65 | 14,336 | 12,122 |
|
Pauline E Cahill
139 W Ross Grove Road |
$31.26 | 12,247 | 12,138 |
|
Jessica Lee Harden Lackey
139 W Ross Grove Road |
$29.25 | 11,586 | 11,481 |
|
Brandon Culler Hounshell
209 Patton Dr |
$28.96 | 5,625 | 5,409 |
|
Brenton L Young
139 W Ross Grove Road |
$30.59 | 4,410 | 4,366 |
|
Stephen William Baer
221 Simpson Park Rd |
$22.67 | 3,654 | 2,774 |
|
Sabrina Reva Baghaie
221 Simpson Park Rd |
$30.83 | 2,866 | 2,738 |
|
Charles Douglas Stroud
416 W Warren St |
$26.41 | 2,470 | 2,228 |
|
Sara H Karner
101 Life Enrichment Blvd |
$26.78 | 1,748 | 1,662 |
|
Austin Coleman Hunt
139 W Ross Grove Rd |
$36.18 | 1,696 | 1,661 |
|
David R Hendrick
613 Mcbrayer Homestead Rd |
$26.87 | 921 | 904 |
|
Rita Elaine Chen
709 N Dekalb St |
$34.95 | 849 | 732 |
|
Lauren Johnson Mcfarland
445 Earl Rd |
$28.81 | 763 | 631 |
|
Benjamin Caple
139 W Ross Grove Rd |
$25.31 | 569 | 461 |
|
Laurie D Horsley
709 N Dekalb St |
$34.69 | 531 | 455 |
|
Elaine Anthonette Porter
709 N Dekalb St |
$34.34 | 446 | 395 |
|
Nancy Moose Hendrix
709 N Dekalb St |
$28.49 | 326 | 295 |
|
Douglas C Huitt
222 N Lafayette St |
$23.68 | 269 | 250 |
|
Najla Ahmed
1019 N Lafayette St |
$31.28 | 259 | 252 |
|
Morkor Newman
709 N Dekalb St |
$29.45 | 194 | 177 |
|
Kendalyn Lutz-Craver
101 Life Enrichment Blvd. |
$24.51 | 189 | 177 |
|
Kimberly Jane Sinclair
305 W College Ave |
$30.15 | 170 | 135 |
|
Jonathan I.C. Brownlee
709 N Dekalb St |
$32.96 | 155 | 133 |
|
Eugene F Young
1429 N Lafayette St |
$28.27 | 108 | 101 |
|
Patricia Wiegand Grinton
709 N Dekalb St |
$22.25 | 59 | 53 |
|
Gracie Pitchford Crowder
709 N Dekalb St |
$38.85 | 14 | 14 |
|
Joseph Rochel Hendrick
511 N Morgan St |
$26.71 | 12 | 12 |
|
Mark L. Binion
709 N Dekalb St |
$34.55 | 12 | 12 |
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 Shelby, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Shelby, NC is $30.72 per claim, based on 80,888 claims from 29 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 Shelby, NC?
There are 29 Medicaid providers offering Dental Cleaning & Exam related services in Shelby, NC according to public payment data.
What is the price range for Dental Cleaning & Exam in Shelby, NC?
Medicaid reimbursement for Dental Cleaning & Exam in Shelby, NC ranges from $22.25 to $38.85 per claim, with an average of $30.72. 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
Other Procedures in Shelby, NC
Office Visit
Avg $53.83
515,145 claims
Emergency Room Visit
Avg $133.41
262,166 claims
Blood Work & Lab Tests
Avg $9.90
247,172 claims
Non-Emergency Medical Transportation
Avg $23.83
188,405 claims
Vaccines & Immunizations
Avg $14.32
184,078 claims
Substance Abuse Treatment
Avg $48.33
86,190 claims
Personal Care Services
Avg $91.66
81,254 claims
Urinalysis & Urine Tests
Avg $4.63
64,293 claims