Based on public Medicaid payment data.
Suzanne Chantel Setayesh
Medicaid Provider in Baltimore, MD
Type
Individual Provider
Address
1501 Division St
Baltimore, MD 212173121
Phone
4103838300
NPI
1659551067
Procedures
3
Total Claims
880
Patients Served
788
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $0.00 | 680 | 677 |
| Tooth Extraction | $0.00 | 151 | 72 |
| Dental Filling | $0.00 | 49 | 39 |
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