Average Medicaid Dental Cleaning & Exam Payments in Washington, NC: $29.92
Avg. Paid
$29.92
Range
$19.59 – $37.89
Total Claims
15,898
Providers
13
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 Washington, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Carnell Walker
629 W 15Th St |
$30.89 | 4,582 | 4,467 |
|
Zeno L Edwards
1103 Brown Street |
$30.24 | 3,415 | 3,336 |
|
Debra Stein Clancy
1206 Brown St |
$29.38 | 2,521 | 2,006 |
|
Jeffery Lane Rumley
1103 Brown St |
$27.18 | 2,170 | 2,037 |
|
Erica Balbuena Tapia
120 W Martin Luther King Jr Dr |
$29.83 | 1,354 | 1,262 |
|
Stephanie Turnage
1206 Brown St |
$31.88 | 516 | 405 |
|
Mark A Karpinski
1206 Brown St |
$30.33 | 399 | 332 |
|
Deborah Lowry Ainsworth
1206 Brown St |
$30.82 | 384 | 304 |
|
Lauren A Nickson
1206 Brown St |
$36.40 | 284 | 245 |
|
Marcus Hardee Jones
1103 Brown St |
$19.59 | 156 | 123 |
|
Karen Emily Fieselman Stroud
1206 Brown St |
$22.80 | 50 | 50 |
|
Derek Steele
515 W 15Th St |
$37.32 | 35 | 30 |
|
Judit Aranyos
1206 Brown St |
$37.89 | 32 | 30 |
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 Washington, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Washington, NC is $29.92 per claim, based on 15,898 claims from 13 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 Washington, NC?
There are 13 Medicaid providers offering Dental Cleaning & Exam related services in Washington, NC according to public payment data.
What is the price range for Dental Cleaning & Exam in Washington, NC?
Medicaid reimbursement for Dental Cleaning & Exam in Washington, NC ranges from $19.59 to $37.89 per claim, with an average of $29.92. 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 Washington, NC
Office Visit
Avg $57.01
146,942 claims
Behavioral & Mental Health Therapy
Avg $80.24
87,552 claims
Vaccines & Immunizations
Avg $14.00
76,100 claims
Blood Work & Lab Tests
Avg $6.03
70,760 claims
Personal Care Services
Avg $101.65
61,285 claims
Emergency Room Visit
Avg $98.67
55,023 claims
Physical Therapy
Avg $46.10
31,288 claims
Urinalysis & Urine Tests
Avg $2.56
30,383 claims