Average Medicaid Dental Cleaning & Exam Payments in Vega Alta, PR: $21.74
Avg. Paid
$21.74
Range
$11.81 – $40.00
Total Claims
50,751
Providers
18
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 Vega Alta, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William A Nunez
Km 29.4 State Road #2 |
$20.20 | 19,828 | 17,168 |
|
Barbara Cuevas Candelario
Alturas De Cerro Gorrdo 3-4 F-5 |
$16.94 | 7,982 | 6,601 |
|
Sonrisas Radiantes Dental Clinic(Csp)
Centro Gran Caribe Suite 209 |
$20.04 | 7,542 | 5,200 |
|
Marta M Rodriguez
694 St, Barrio Espinosa Km. 0.1 |
$20.20 | 4,157 | 4,009 |
|
Edwin A Rosa
Carr 2 Km 29.3 |
$34.54 | 3,645 | 3,051 |
|
Caribe Dental Gallery
Suite 208 Carretera #2 Km 29.7 |
$26.98 | 2,282 | 1,552 |
|
Loreiny Mariel Marrero Colon
Centro Gran Caribe Suite 208 |
$25.02 | 1,882 | 1,025 |
|
Clinica Dental Dra. Carla Fidalgo,Csp
Parcelas Carmen |
$26.94 | 817 | 588 |
|
Oficina Dental Laser Dr. Nunez, P.S.C.
State Road #2 Km 29.4 |
$27.37 | 771 | 525 |
|
Cristina Ortiz-Diaz
36 Carr 2 Ste 301 |
$33.43 | 480 | 466 |
|
Erick Otero
36 Carr 2 Ste 302 |
$29.64 | 382 | 328 |
|
Jose Ivan Maldonado
48 Calle Teodomiro Ramirez |
$33.68 | 306 | 274 |
|
Wilson Vargas
Georgetti #100 |
$27.58 | 269 | 233 |
|
Naiomy Perez Villanueva
Carretera Estatal #2 Km 29.7 |
$11.81 | 166 | 90 |
|
Estudio Dental Otero Loperena Llc
36 Carr 2 Ste 302 |
$32.31 | 77 | 77 |
|
Morovis Community Health Center Inc
Bo. Espinosa |
$27.88 | 69 | 40 |
|
Clinica Dental Dr. Edwin Rosa, Csp
Carr 2 Km 29.3 |
$40.00 | 58 | 41 |
|
Dr Diego Gallardo Torres-Aguiar Psc
36 Carr 2 Ste 302 |
$25.47 | 38 | 33 |
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 Vega Alta, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Vega Alta, PR is $21.74 per claim, based on 50,751 claims from 18 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 Vega Alta, PR?
There are 18 Medicaid providers offering Dental Cleaning & Exam related services in Vega Alta, PR according to public payment data.
What is the price range for Dental Cleaning & Exam in Vega Alta, PR?
Medicaid reimbursement for Dental Cleaning & Exam in Vega Alta, PR ranges from $11.81 to $40.00 per claim, with an average of $21.74. 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 Vega Alta, PR
Blood Work & Lab Tests
Avg $10.73
218,924 claims
Office Visit
Avg $9.41
88,873 claims
Urinalysis & Urine Tests
Avg $3.55
50,710 claims
Vaccines & Immunizations
Avg $6.62
42,419 claims
Eye Exam
Avg $31.36
24,601 claims
Emergency Room Visit
Avg $32.04
21,763 claims
Psychiatric Evaluation
Avg $4.60
20,941 claims
Physical Therapy
Avg $19.00
16,127 claims