Based on public Medicaid payment data.
Tamara Miles-Dulan
Medicaid Provider in Baltimore, MD
Type
Individual Provider
Address
6058 Rossville Blvd
Baltimore, MD 212213158
Phone
4103913801
NPI
1700904752
Procedures
4
Total Claims
7.5K
Patients Served
6.2K
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 | $36.51 | 4,745 | 4,590 |
| Tooth Extraction | $106.24 | 1,395 | 732 |
| Dental Filling | $113.22 | 1,316 | 860 |
| Dental Crown | $395.61 | 14 | 13 |
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