Average Medicaid Dental Cleaning & Exam Payments in Statesville, NC: $29.47
Avg. Paid
$29.47
Range
$0.05 – $42.67
Total Claims
173,252
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 Statesville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Perry Stephen Justice
2117 Simonton Rd |
$30.25 | 53,361 | 51,017 |
|
Nicole-Marie Blischak
964 Glenway Dr |
$27.63 | 22,045 | 20,351 |
|
Stuart W Tucker
734 Hartness Rd |
$30.52 | 16,914 | 16,207 |
|
Robin Suzanne Strickland
318 Turnersburg Hwy |
$36.97 | 12,031 | 11,991 |
|
George Fulton
730 Brookdale Dr |
$22.86 | 10,649 | 6,883 |
|
Destynee Jabrae Horner
1454 Fern Creek Dr |
$27.42 | 9,012 | 8,237 |
|
Gregory J Kuchtjak
933 Carolina Avenue |
$26.24 | 8,548 | 8,003 |
|
George R Rankin
734 Hartness Road |
$27.98 | 7,072 | 6,972 |
|
Vivian Nguyen
1318 Davie Ave Ste A |
$27.05 | 6,870 | 6,011 |
|
Deyon A Mccalla
518 Brookdale Dr |
$27.42 | 5,568 | 4,967 |
|
Matthew Robert Lohwater
318 Turnersburg Hwy |
$33.09 | 5,104 | 5,020 |
|
Prashant Patel
1424A Fern Creek Dr |
$28.02 | 2,158 | 2,017 |
|
Julie Hope Schopps
129 Sherlock Dr |
$34.90 | 2,129 | 1,800 |
|
Walter Curtis Gessler
129 Sherlock Dr |
$34.07 | 1,640 | 1,334 |
|
Elizabeth Whitley Fickling Rashley
129 Sherlock Dr |
$34.30 | 1,548 | 1,356 |
|
Kristen Renee Stoner
129 Sherlock Dr |
$34.47 | 1,378 | 1,170 |
|
Maria Campbell Head
129 Sherlock Dr |
$36.90 | 912 | 769 |
|
Jon Ryan Hutchinson
558 Kitchings Dr |
$33.17 | 899 | 797 |
|
Alexandra Karen Carroll
964 Glenway Dr Ste A |
$0.05 | 886 | 571 |
|
Helen Tai
518 Brookdale Dr |
$30.09 | 857 | 835 |
|
Maegan Marlowe Galliher
129 Sherlock Dr |
$35.94 | 787 | 711 |
|
John Marcus Dale
1318 Davie Ave Ste A |
$27.63 | 787 | 760 |
|
Michael Borja
2117 Simonton Rd |
$32.27 | 715 | 659 |
|
Randy Joseph Holleman
310 N Center St |
$42.67 | 399 | 393 |
|
Kathleen Marie Harknett
518 Brookdale Dr |
$26.36 | 289 | 231 |
|
Jordan Michael Ferrage
1207 Davie Ave |
$33.42 | 207 | 131 |
|
Sharon Hollifield Bryan
518 Brookdale Dr |
$29.65 | 193 | 161 |
|
James Anthony Vacca
1316 Davie Ave |
$38.51 | 164 | 154 |
|
Shawn Nicholas Wolff
1424A Fern Creek Dr |
$26.92 | 130 | 121 |
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 Statesville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Statesville, NC is $29.47 per claim, based on 173,252 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 Statesville, NC?
There are 29 Medicaid providers offering Dental Cleaning & Exam related services in Statesville, NC according to public payment data.
What is the price range for Dental Cleaning & Exam in Statesville, NC?
Medicaid reimbursement for Dental Cleaning & Exam in Statesville, NC ranges from $0.05 to $42.67 per claim, with an average of $29.47. 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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