Average Medicaid Dental Cleaning & Exam Payments in Somerset, KY: $37.41
Avg. Paid
$37.41
Range
$25.43 – $389.88
Total Claims
229,101
Providers
22
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 Somerset, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brandi Prather
47 Sarahs Ln |
$38.52 | 81,320 | 79,922 |
|
Mary Catherine Wurth
401 Bogle St Ste 204 |
$38.38 | 37,970 | 36,115 |
|
Angela Davidson Gabbard
100 Hardin Ln Ste A |
$38.27 | 30,124 | 29,226 |
|
Darrell Gene Bartley
296 Medpark Drive |
$32.69 | 15,112 | 14,418 |
|
Gwenna Natasha Bates
29 Eury Ln |
$32.54 | 8,203 | 7,857 |
|
Ben Alderdice
100 Hardin Ln Ste B |
$40.75 | 7,787 | 7,579 |
|
Bryson Dane Fry
296 Medpark Dr |
$38.43 | 7,399 | 7,271 |
|
Corey Hamm
29 Eury Ln |
$31.84 | 6,462 | 6,230 |
|
Henry Dale Coffey
313 Langdon St |
$26.89 | 6,120 | 5,454 |
|
Robert Jospeh Millay
29 Eury Ln |
$34.10 | 5,206 | 4,844 |
|
Harold Lloyd Maynard
29 Eury Ln |
$30.28 | 4,244 | 3,981 |
|
James L Saindon
501 College Street |
$73.52 | 4,242 | 3,911 |
|
Jeremy A Nissen
110 N Central Ave |
$26.52 | 3,428 | 3,174 |
|
Jessica Leigh Hamm
29 Eury Ln |
$29.66 | 2,625 | 2,480 |
|
Kenneth Taylor Ruby
152 Parkers Mill Rd Unit A |
$41.69 | 2,308 | 2,284 |
|
Kenneth Wayne Lose
29 Eury Ln |
$25.43 | 2,030 | 1,936 |
|
Gregory D Binder
54 Imaging Dr |
$28.04 | 1,483 | 1,376 |
|
Gina L Saindon
501 College Street |
$30.19 | 1,231 | 1,158 |
|
Yesha Banaji Westbrooks
521 Crane Rd |
$27.39 | 768 | 721 |
|
Bennie B. Alderdice
100 Hardin Ln |
$30.65 | 740 | 701 |
|
Denny Lee Brummett
3876 S Hwy 27 |
$34.63 | 218 | 207 |
|
Lake Cumberland Surgery Center Lp
301 Langdon St |
$389.88 | 81 | 70 |
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 Somerset, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Somerset, KY is $37.41 per claim, based on 229,101 claims from 22 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 Somerset, KY?
There are 22 Medicaid providers offering Dental Cleaning & Exam related services in Somerset, KY according to public payment data.
What is the price range for Dental Cleaning & Exam in Somerset, KY?
Medicaid reimbursement for Dental Cleaning & Exam in Somerset, KY ranges from $25.43 to $389.88 per claim, with an average of $37.41. 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 $36.93
986,284 claims
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Avg $59.24
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Avg $177.24
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Avg $132.80
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