Average Medicaid Dental Cleaning & Exam Payments in Sumter, SC: $34.02
Avg. Paid
$34.02
Range
$29.25 – $68.58
Total Claims
167,492
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 Sumter, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Desinta Speller
45 W Wesmark Blvd |
$35.13 | 48,263 | 48,239 |
|
Mickelle O'Nea Pitt
1121 Broad St |
$32.91 | 25,739 | 24,645 |
|
Sharlene Martin
500 Physicians Ln |
$31.77 | 20,066 | 20,060 |
|
Lisbeth W Poag
500 Physicians Ln |
$31.04 | 15,374 | 15,370 |
|
Joshua Aaron Durrant
500 Physicians Ln |
$31.68 | 13,597 | 13,596 |
|
Neckael James
1121 Broad St |
$35.29 | 10,567 | 10,563 |
|
Calvin V Boykin
656 Bultman Dr |
$36.87 | 6,993 | 6,985 |
|
Jose Antonio Cintron Sostre
1105 N. Lafayette Dr |
$32.00 | 6,537 | 6,451 |
|
Varsha Kapoor
500 Physicians Ln |
$31.82 | 5,559 | 5,558 |
|
Prisma Health-Midlands
129 N. Washington Street |
$68.58 | 2,302 | 1,738 |
|
Joshua Hubbard
1121 Broad St |
$35.69 | 2,262 | 2,262 |
|
Navpreet Judge
1105 N Lafayette Drive |
$29.25 | 2,140 | 2,136 |
|
Richard Anthony Suarez-Murias
1121 Broad St |
$35.02 | 1,781 | 1,780 |
|
Arian Latham Ray
625 Constitution Drive |
$33.97 | 1,504 | 1,503 |
|
Alex Whittington
1105 N. Lafayette Dr. Ste C |
$38.05 | 1,391 | 1,391 |
|
James Arthur Goodson
656 Bultman Dr |
$38.83 | 1,121 | 1,121 |
|
Allison Antoinette Reeves
516 West Liberty Street |
$34.52 | 1,115 | 1,115 |
|
Louis Arthur Drucker
1105 N. Lafayette Dr. |
$35.53 | 746 | 745 |
|
Richard S Marks
5 Professional Ct |
$36.86 | 274 | 274 |
|
Vatsal Suthar
625 Constitution Dr |
$38.86 | 78 | 78 |
|
James Darrell Dailey
1105 N. Lafeyette Dr. |
$46.59 | 70 | 70 |
|
Gary A Bethea
625 Constitution Dr |
$38.24 | 13 | 13 |
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 Sumter, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Sumter, SC is $34.02 per claim, based on 167,492 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 Sumter, SC?
There are 22 Medicaid providers offering Dental Cleaning & Exam related services in Sumter, SC according to public payment data.
What is the price range for Dental Cleaning & Exam in Sumter, SC?
Medicaid reimbursement for Dental Cleaning & Exam in Sumter, SC ranges from $29.25 to $68.58 per claim, with an average of $34.02. 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
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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
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Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
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