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 |
|---|---|---|---|
|
Gary A Bethea
625 Constitution Dr |
$38.24 | 13 | 13 |
|
James Darrell Dailey
1105 N. Lafeyette Dr. |
$46.59 | 70 | 70 |
|
Vatsal Suthar
625 Constitution Dr |
$38.86 | 78 | 78 |
|
Richard S Marks
5 Professional Ct |
$36.86 | 274 | 274 |
|
Louis Arthur Drucker
1105 N. Lafayette Dr. |
$35.53 | 746 | 745 |
|
Allison Antoinette Reeves
516 West Liberty Street |
$34.52 | 1,115 | 1,115 |
|
James Arthur Goodson
656 Bultman Dr |
$38.83 | 1,121 | 1,121 |
|
Alex Whittington
1105 N. Lafayette Dr. Ste C |
$38.05 | 1,391 | 1,391 |
|
Arian Latham Ray
625 Constitution Drive |
$33.97 | 1,504 | 1,503 |
|
Richard Anthony Suarez-Murias
1121 Broad St |
$35.02 | 1,781 | 1,780 |
|
Navpreet Judge
1105 N Lafayette Drive |
$29.25 | 2,140 | 2,136 |
|
Joshua Hubbard
1121 Broad St |
$35.69 | 2,262 | 2,262 |
|
Prisma Health-Midlands
129 N. Washington Street |
$68.58 | 2,302 | 1,738 |
|
Varsha Kapoor
500 Physicians Ln |
$31.82 | 5,559 | 5,558 |
|
Jose Antonio Cintron Sostre
1105 N. Lafayette Dr |
$32.00 | 6,537 | 6,451 |
|
Calvin V Boykin
656 Bultman Dr |
$36.87 | 6,993 | 6,985 |
|
Neckael James
1121 Broad St |
$35.29 | 10,567 | 10,563 |
|
Joshua Aaron Durrant
500 Physicians Ln |
$31.68 | 13,597 | 13,596 |
|
Lisbeth W Poag
500 Physicians Ln |
$31.04 | 15,374 | 15,370 |
|
Sharlene Martin
500 Physicians Ln |
$31.77 | 20,066 | 20,060 |
|
Mickelle O'Nea Pitt
1121 Broad St |
$32.91 | 25,739 | 24,645 |
|
Desinta Speller
45 W Wesmark Blvd |
$35.13 | 48,263 | 48,239 |
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
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 Sumter, SC
Office Visit
Avg $76.88
592,225 claims
Blood Work & Lab Tests
Avg $12.51
300,851 claims
Vaccines & Immunizations
Avg $19.55
162,920 claims
Emergency Room Visit
Avg $38.43
157,791 claims
Urinalysis & Urine Tests
Avg $21.60
129,948 claims
Speech Therapy
Avg $38.90
125,766 claims
Home Health Visit
Avg $44.33
116,753 claims
Psychiatric Evaluation
Avg $158.47
109,398 claims