Average Medicaid Dental Cleaning & Exam Payments in Toa Alta, PR: $20.41
Avg. Paid
$20.41
Range
$15.84 – $27.28
Total Claims
106,198
Providers
16
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 Toa Alta, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jorge Ramos Ortiz
Rr 6 Box 7591 |
$20.00 | 22,472 | 18,486 |
|
Delia Elizabeth Farrulla
165 Ave. Jardines De Toa Alta 1Rst. St. |
$20.54 | 13,310 | 12,570 |
|
Ana M Gonzalez
E1 Carr 167 |
$21.41 | 10,101 | 9,543 |
|
Luis C. Iravedra
Calle 1 A2 |
$20.48 | 9,453 | 9,217 |
|
Nestor A Rivera
Calle Munoz Rivera |
$22.17 | 9,054 | 7,319 |
|
Yasmin A Lopez Alvarez
Las Fuentes Shopping Mall |
$19.92 | 8,985 | 7,226 |
|
Marie Rosa Aviles Aviles
Toa Alta Heights Mini Mall |
$19.24 | 7,804 | 6,554 |
|
Luis A. Pagan
Urb. San Fernando Calle 6 |
$16.64 | 6,864 | 5,429 |
|
Pedro Cheverez
137 Calle Malagueta |
$19.49 | 5,536 | 4,893 |
|
Vaniely Rodriguez
Street Aguas Buenas Buzon 1413 |
$27.28 | 4,744 | 3,634 |
|
Jessica Cristina Sanchez Quinones
Shopping Plaza Del Toa |
$22.27 | 3,577 | 3,451 |
|
Jose J Campos-Nazario
Villa Maria 1A-6 |
$15.98 | 2,797 | 2,505 |
|
Jose Antonio Aguirre
16 Calle Barcelo |
$19.75 | 833 | 791 |
|
Jose M Silva-Bonar
Barcelo St. |
$15.84 | 453 | 414 |
|
Luis Joel Cintron
Ciudad Jardin 3 |
$26.92 | 188 | 173 |
|
Jose Francisco Castillo
Rio Del Plata Mall Carr 165 Esq Calle 1 |
$23.62 | 27 | 14 |
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 Toa Alta, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Toa Alta, PR is $20.41 per claim, based on 106,198 claims from 16 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 Toa Alta, PR?
There are 16 Medicaid providers offering Dental Cleaning & Exam related services in Toa Alta, PR according to public payment data.
What is the price range for Dental Cleaning & Exam in Toa Alta, PR?
Medicaid reimbursement for Dental Cleaning & Exam in Toa Alta, PR ranges from $15.84 to $27.28 per claim, with an average of $20.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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