Average Medicaid Dental Cleaning & Exam Payments in Vega Baja, PR: $20.56
Avg. Paid
$20.56
Range
$16.26 – $37.34
Total Claims
152,220
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 Vega Baja, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maria Milagros Umpierre Marchand
Plaza Las Vegas Carr # 2 Km 39.1 |
$21.01 | 24,111 | 21,230 |
|
Tiara Nahir Otero
Betances St. #38-B |
$18.88 | 18,728 | 16,331 |
|
Yaira Rojas
Jose J. Acosta #80 |
$20.23 | 16,141 | 13,879 |
|
Armando Figueroa
1 Carr 155 # Km66.1 |
$21.56 | 16,099 | 13,351 |
|
Magda S. Diaz
38 Calle Betances |
$16.79 | 13,351 | 12,229 |
|
Angel Ivan Hernandez
Urb. Brasilia St. Marginal M-19 |
$20.81 | 11,493 | 10,819 |
|
Jose M Portela-Vales
67 Calle Jose Julian Acosta |
$19.87 | 9,346 | 8,304 |
|
Juan Diego Hernandez
Extencion Betances #181 |
$20.48 | 8,524 | 7,518 |
|
Francisco J Rodriguez Mojica
Urb Monte Carlo |
$21.91 | 7,262 | 6,417 |
|
Arminda Rivera
E-11 Calle 3 |
$17.33 | 5,533 | 4,522 |
|
Edgardo Javier Alegria
Jose Julian Acosta Street |
$21.50 | 4,754 | 4,296 |
|
Silvana Maribel Pons
125 Calle Marginal |
$18.94 | 3,672 | 3,213 |
|
Prymed Medical Care, Inc
Road #2 Km. 39.8 |
$25.97 | 3,547 | 2,586 |
|
Johjanniesmagno Griffith
E3 Carr 155 |
$37.34 | 2,387 | 2,041 |
|
Jessica Maria Perez
Urb. Villa Real |
$18.47 | 2,171 | 2,027 |
|
Centro Profesional Medico Dental,Csp
80 Calle Jose J Acosta |
$24.92 | 2,014 | 1,441 |
|
Gabriela Nicolle Santiago Rodriguez
686 St, Villa Real |
$24.74 | 1,633 | 1,527 |
|
Nina Carola Cordero
540 Calle Tulipa |
$24.98 | 543 | 405 |
|
Noel I Donate
Carr 686 1A-1 Urb Villa Real |
$21.02 | 427 | 397 |
|
Marielys Nicole Alicea Castro
Villas De La Playa |
$25.91 | 255 | 251 |
|
Ariel O Jusino Cordova
B12 Calle 2 |
$16.26 | 153 | 125 |
|
Lillian Hernandez Cortes
Carr 2 Km 39.1 |
$26.40 | 76 | 76 |
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 Baja, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Vega Baja, PR is $20.56 per claim, based on 152,220 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 Vega Baja, PR?
There are 22 Medicaid providers offering Dental Cleaning & Exam related services in Vega Baja, PR according to public payment data.
What is the price range for Dental Cleaning & Exam in Vega Baja, PR?
Medicaid reimbursement for Dental Cleaning & Exam in Vega Baja, PR ranges from $16.26 to $37.34 per claim, with an average of $20.56. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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