Average Medicaid Dental Cleaning & Exam Payments in Vienna, VA: $23.99
Avg. Paid
$23.99
Range
$0.00 – $50.04
Total Claims
76,255
Providers
35
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 Vienna, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Oscar Aldo Luna
410 Pine St Se |
$22.83 | 14,776 | 14,640 |
|
Divya R Sankepally
410 Pine St Se Ste 100 |
$26.26 | 12,595 | 12,524 |
|
Andrew Jason Shannon
301 Maple Ave W |
$24.05 | 9,705 | 9,551 |
|
Anamaria Cabel
402 Maple Ave W Ste B |
$27.94 | 9,629 | 8,727 |
|
Moira K Baron
1542 Crowell Rd |
$2.30 | 7,883 | 7,691 |
|
Jila Tahmasebi-Boldaji
8212 Old Courthouse Rd |
$26.81 | 3,569 | 3,485 |
|
Mohammad Elkhateeb
2230 Gallows Rd Ste 320 |
$43.12 | 3,340 | 3,263 |
|
Oula Kowatli
8255 Trailwood Ct |
$38.45 | 2,292 | 2,177 |
|
Khai Dinh Vu
301 Maple Ave W |
$23.21 | 2,289 | 2,254 |
|
Jason Farr Favagehi
8304 Old Courthouse Rd Ste C |
$25.21 | 2,130 | 1,944 |
|
Mielad Abady
8230 Leesburg Pike Ste 730 |
$48.04 | 1,052 | 1,046 |
|
Maria Gema Island
1500 Cornerside Blvd |
$23.33 | 905 | 902 |
|
Joon Kim
8133 Leesburg Pike |
$23.36 | 857 | 839 |
|
Maimi Yamaguchi
8310 Old Courthouse Rd |
$18.21 | 763 | 729 |
|
Jhosdyn Barragan
8150 Leesburg Pike Ste 900 |
$5.81 | 562 | 504 |
|
Nima Moradi Majd
2671 Avenir Pl Apt 1420 |
$37.84 | 522 | 521 |
|
Dilnoza Hojaeva
8230 Boone Blvd Ste 410 |
$50.04 | 509 | 509 |
|
Geith James Kallas
8310 Old Courthouse Rd Ste A |
$40.98 | 457 | 455 |
|
Dina Majeed
305 Maple Ave W Ste E |
$26.43 | 456 | 446 |
|
Andrew Youngho Kim
307 Maple Ave W |
$14.27 | 324 | 324 |
|
Inga Kazlauskaite Sloat
303 Maple Ave W Ste A |
$2.21 | 305 | 265 |
|
Shahram Sabet
360 Maple Ave W |
$1.01 | 240 | 240 |
|
Debora Armellini
8219 Leesburg Pike |
$11.68 | 171 | 166 |
|
Hiba Zakhour
8310 Old Courthouse Rd |
$13.03 | 156 | 146 |
|
Sara Shambayati
8294 Old Courthouse Rd Ste C |
$5.72 | 141 | 139 |
|
Ahmed K Saad
110 Pleasant St Nw Ste A |
$25.44 | 140 | 139 |
|
Eyad M Albarq
8603 Westwood Center Dr |
$23.89 | 117 | 117 |
|
Virginia Atencio Orozco
8310 Old Courthouse Rd Ste A |
$0.00 | 78 | 78 |
|
Man Shu
8296 Old Courthouse Rd Ste A |
$10.17 | 70 | 67 |
|
Mauricio Colomo
8304-C Old Corthouse Rd, |
$0.00 | 62 | 56 |
|
Eun Young Lee
8381 Old Courthouse Rd Suite 100 |
$18.85 | 54 | 54 |
|
Denise Nguyen
8298 Old Courthouse Rd Ste C |
$24.83 | 40 | 40 |
|
Mohsen Izadi
133 Maple Ave E |
$20.45 | 36 | 36 |
|
Snehal Patel
604 Beulah Rd Ne |
$31.31 | 18 | 18 |
|
Baharak Bahrami
8230 Boone Blvd Ste 100 |
$20.15 | 12 | 12 |
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 Vienna, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Vienna, VA is $23.99 per claim, based on 76,255 claims from 35 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 Vienna, VA?
There are 35 Medicaid providers offering Dental Cleaning & Exam related services in Vienna, VA according to public payment data.
What is the price range for Dental Cleaning & Exam in Vienna, VA?
Medicaid reimbursement for Dental Cleaning & Exam in Vienna, VA ranges from $0.00 to $50.04 per claim, with an average of $23.99. 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
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
3,240,448 claims · 723 providers
Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
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Avg $176.54
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174,255 claims
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Avg $78.34
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Avg $60.73
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