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Based on public Medicaid payment data.

Tsebaot Indrias

Medicaid Provider in Baltimore, MD

Type

Individual Provider

Address

2429 Frederick Ave

Baltimore, MD 212232856

Phone

4439571616

NPI

1174811855

Procedures

3

Total Claims

47.8K

Patients Served

44.5K

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 $40.93 39,068 38,496
Dental Filling $108.12 8,425 5,821
Tooth Extraction $97.37 258 190

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