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 |
|---|---|---|---|
|
Olu A Oyegunwa Dds Pllc
7150 Market St Ste 120 |
$0.00 | 12 | 12 |
|
Mollie O'Mara Lindholm
2131 S 17Th St |
$35.26 | 12 | 12 |
|
Jorey Edward Parkhurst
5503 Oleander Dr. |
$25.63 | 12 | 12 |
|
Donald A Digiulian
1307 Medical Center Dr |
$35.84 | 13 | 12 |
|
Susan Marie Brandt
613 Shipyard Blvd |
$31.68 | 13 | 12 |
|
Evan Hunter Pierce
1902 Glen Meade Rd |
$26.93 | 13 | 13 |
|
Cashe Christine Emory
2131 S 17Th St |
$31.48 | 16 | 12 |
|
Eric Michael Jackson
1914 Glen Meade Rd |
$2.24 | 17 | 13 |
|
Christina S Hill
4005 Oleander Dr |
$32.19 | 23 | 21 |
|
Patrick Scott Edwards
1914 Glen Meade Rd |
$15.84 | 24 | 24 |
|
Clarence Arthur Alford
3902 Shipyard Blvd. |
$23.12 | 26 | 25 |
|
Tristan William Hamilton
4622 Oleander Dr |
$24.99 | 28 | 28 |
|
Erin Riley Graves
510 Carolina Bay Dr Ste 200 |
$31.99 | 28 | 26 |
|
Spenser Myers
8066 Market St |
$27.50 | 33 | 33 |
|
Achara D O'Brien
2601 Iron Gate Dr |
$65.43 | 39 | 38 |
|
Allison C. Eggleston, Dds, Pc
6781 Parker Farm Dr |
$0.00 | 39 | 39 |
|
Victoria R Morris
2252 Yaupon Dr |
$23.71 | 40 | 38 |
|
Noah R Archer
2421 Silver Stream Lane |
$37.41 | 41 | 41 |
|
Hoke Ward Pollock
3505 Converse Rd Ste 200 |
$25.59 | 43 | 28 |
|
Whitney Leigh Belisle
1624 Princess St |
$32.29 | 50 | 50 |
|
Ronald E Robinson
2520 Delaney Rd |
$11.54 | 59 | 55 |
|
Erin F. Whitehead
2421 Silver Stream Ln |
$27.06 | 70 | 68 |
|
Jillian Barras Wolske
4700 New Centre Dr |
$25.42 | 79 | 77 |
|
Keith W Mann
818-101 Pine Grove Drive |
$24.36 | 96 | 92 |
|
James A Gainer
3725 Wrightsville Ave |
$24.80 | 130 | 121 |
|
Thomas L Blackstone
3505 Converse Dr |
$31.73 | 151 | 131 |
|
Mark Edward Mcgee
8048 Market St |
$22.79 | 174 | 167 |
|
Khadijia D Tribie
925 N 4Th St |
$22.10 | 250 | 191 |
|
Susannah Aylesworth
5211 S College Rd |
$29.70 | 252 | 237 |
|
Caroline Kennedy Hoggard
2252 Yaupon Dr |
$27.96 | 253 | 218 |
|
Gregory L Richardson
2606 Iron Gate Drive |
$41.32 | 256 | 227 |
|
Emma Mae Hughes Mckernan
7150 Market St Ste 130 |
$27.43 | 286 | 230 |
|
Alexander Hicks
716 Medical Center Dr |
$18.69 | 294 | 194 |
|
Yvonne Nicole Mackillop
615 Shipyard Blvd |
$24.75 | 299 | 252 |
|
Skip Tyson Dds & Stephanie Heaney Dds Pa
2606 Iron Gate Dr |
$0.00 | 315 | 245 |
|
Laris Wayne Milligan
2250 Shipyard Blvd Ste 6 |
$27.14 | 341 | 337 |
|
Clara Emilia Escuder
3505 Converse Dr Ste 200 |
$28.09 | 370 | 339 |
|
Daniel Ott
2421 Silver Stream Lane |
$32.18 | 446 | 403 |
|
Kensuke Matsumoto
8115 Market St Ste 208 |
$44.51 | 447 | 420 |
|
Suzanne Smith
1202 Medical Center Dr |
$32.13 | 507 | 481 |
|
Allison Belle Bean
2131 S 17Th St |
$29.13 | 513 | 390 |
|
Lauren Elizabeth Marechal
5000 Market St |
$26.77 | 548 | 543 |
|
Brianna Fleming Meier
715 Medical Center Dr |
$37.58 | 553 | 459 |
|
Katlin Povich Jameson
2002 Eastwood Rd Ste 105 |
$29.31 | 564 | 436 |
|
Nancy Stewart Mclendon Dickson
715 Medical Center Dr |
$35.58 | 591 | 541 |
|
Caryn Ann Bowden
2421 Silver Stream Ln |
$34.89 | 596 | 577 |
|
Richard Daniel Reamer
1611 Greenfield St |
$25.39 | 633 | 600 |
|
Michael Defee
4622 Oleander Dr |
$25.91 | 658 | 647 |
|
Pamela L Taylor
6727 Parker Farm Drive |
$30.64 | 745 | 623 |
|
Taylor Rippy
2304 Delaney Ave |
$34.68 | 755 | 660 |
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
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Avg $59.14
392,292 claims
Physical Therapy
Avg $63.02
316,863 claims
Vaccines & Immunizations
Avg $13.35
285,108 claims