Average Medicaid Dental Cleaning & Exam Payments in Wilmington, NC: $31.04
Avg. Paid
$31.04
Range
$0.00 – $231.85
Total Claims
328,640
Providers
97
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 Wilmington, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Douglas Sterling Fry
1911 S 17Th St |
$27.68 | 37,762 | 35,776 |
|
Preston Schryer
1611 Greenfield St |
$32.58 | 29,972 | 29,323 |
|
Robert Stuart Point
1911 S 17Th St # 140 |
$28.32 | 19,961 | 19,415 |
|
Stephanie A Myles
404 S College Rd |
$32.28 | 18,544 | 18,136 |
|
Amy Lauren Lewis
5023 Market St |
$29.35 | 16,670 | 14,577 |
|
Halley R White
8115 Market St |
$30.17 | 16,513 | 16,370 |
|
Jeremiah Hilton
7150 Market St Ste 130 |
$31.14 | 15,495 | 15,294 |
|
Brandon Kent Farrell
115 N 3Rd St |
$32.54 | 13,995 | 13,454 |
|
Eddie Romero Graham
925 N 4Th St |
$28.14 | 12,780 | 11,841 |
|
Andrew Mathew Johnson
8115 Market St |
$31.02 | 12,029 | 11,848 |
|
William Robert Cherry
3505 Converse Drive |
$28.48 | 10,166 | 10,021 |
|
John Anderson Overton
710 Military Cutoff Rd Ste 100 |
$29.08 | 10,093 | 9,857 |
|
Harold Kenneth West
4622 Oleander Dr |
$31.23 | 9,820 | 9,759 |
|
Mary Lynn King
1611 Greenfield St |
$33.59 | 6,382 | 6,165 |
|
Claudia Garcia Sanchez
5023 Market St |
$28.73 | 6,285 | 5,970 |
|
Zachary Campbell Hunter
1650 Greenfield St |
$32.09 | 5,763 | 5,354 |
|
Ryan Morgan
8203 Market St Bldg B |
$28.54 | 5,587 | 5,129 |
|
John Yates Williams
1611 Greenfield St |
$30.79 | 5,424 | 5,107 |
|
Jenna Murrell
3505 Converse Rd Ste 175 |
$31.11 | 4,944 | 4,817 |
|
Andrew Nicholas Troupes
1611 Greenfield St |
$29.63 | 4,322 | 4,215 |
|
Richard Stephen Butler
4837 Carolina Beach Rd |
$30.50 | 4,205 | 4,013 |
|
Chester J Tyson
2606 Iron Gate Dr |
$25.93 | 3,801 | 3,456 |
|
Katherine Payne Benson
2606 Iron Gate Dr Ste 200 |
$25.63 | 3,699 | 3,540 |
|
Christopher Adam Compton
5413 Watergrass Dr |
$38.70 | 3,670 | 3,608 |
|
Steven Lemmon
1305 Physicians Dr |
$40.55 | 3,312 | 3,081 |
|
Adam Weinberg
3505 Converse Dr Ste 175 |
$26.88 | 3,302 | 3,251 |
|
Julia Dimock
3505 Converse Dr Ste 175 |
$27.40 | 2,992 | 2,978 |
|
Stephanie Leigh Heaney
2606 Iron Gate Dr |
$25.92 | 2,803 | 2,593 |
|
John Louis Armstrong
1611 Greenfield St |
$31.96 | 2,703 | 2,659 |
|
Ronald Dale Gaitros
1122 Medical Center Dr |
$40.87 | 2,278 | 2,223 |
|
Daniel Joseph Duffy
2520 Delaney Ave |
$29.47 | 2,226 | 2,099 |
|
Michael S. Booth
1305 Physicians Dr. |
$36.96 | 2,085 | 2,027 |
|
Svetlana Alexandra Staub
2304 Delaney Rd |
$31.19 | 1,900 | 1,698 |
|
Zachary W Newkirk
5225 Sigmon Rd |
$25.64 | 1,887 | 1,815 |
|
Walter J Wulf
2253 Carolina Bch Rd |
$22.04 | 1,425 | 1,302 |
|
Laura Ellen Sutton Johnson
6132 Carolina Beach Rd |
$231.85 | 1,408 | 920 |
|
Nicole Evangeline Aristy
5710 Oleander Dr Ste 200 |
$30.76 | 1,158 | 955 |
|
Cassandra Lorraine Jones
8115 Market St Ste 204 |
$32.31 | 1,107 | 1,082 |
|
Karim Peppers
925 N 4Th St |
$21.99 | 1,095 | 844 |
|
Mark Edward Bufalini
1305 Physicians Dr |
$37.73 | 1,052 | 1,017 |
|
Roberts & Associates Pllc
5023 Market St |
$0.00 | 1,009 | 1,001 |
|
Jacob Long
1611 Greenfield St |
$27.67 | 999 | 940 |
|
Michael Lee Hasson
1221 Floral Pkwy Ste 101 |
$35.10 | 981 | 952 |
|
James Lankford White
1932 S 16Th St |
$27.65 | 890 | 862 |
|
Lenard Joseph Edralin
2304 Delaney Rd |
$33.21 | 867 | 781 |
|
Maya Vexler
404 College Rd |
$35.96 | 763 | 733 |
|
Elizabeth Jane Buskirk
5211 S College Rd |
$32.72 | 763 | 659 |
|
Taylor Rippy
2304 Delaney Ave |
$34.68 | 755 | 660 |
|
Pamela L Taylor
6727 Parker Farm Drive |
$30.64 | 745 | 623 |
|
Michael Defee
4622 Oleander Dr |
$25.91 | 658 | 647 |
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 Wilmington, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Wilmington, NC is $31.04 per claim, based on 328,640 claims from 97 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 Wilmington, NC?
There are 97 Medicaid providers offering Dental Cleaning & Exam related services in Wilmington, NC according to public payment data.
What is the price range for Dental Cleaning & Exam in Wilmington, NC?
Medicaid reimbursement for Dental Cleaning & Exam in Wilmington, NC ranges from $0.00 to $231.85 per claim, with an average of $31.04. 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 Wilmington, NC
Office Visit
Avg $55.56
1,298,205 claims
Speech Therapy
Avg $55.85
566,290 claims
Emergency Room Visit
Avg $138.32
511,613 claims
Psychiatric Evaluation
Avg $41.28
438,201 claims
Blood Work & Lab Tests
Avg $11.72
431,588 claims
Substance Abuse Treatment
Avg $59.14
392,292 claims
Physical Therapy
Avg $63.02
316,863 claims
Vaccines & Immunizations
Avg $13.35
285,108 claims