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Based on public Medicaid payment data.

Trevor M Davis

Medicaid Provider in Bernalillo, NM

Type

Individual Provider

Address

120 E Hwy 550

Bernalillo, NM 870045967

Phone

5053935555

NPI

1750762076

Procedures

4

Total Claims

13.9K

Patients Served

10K

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 $41.99 8,955 8,090
Dental Filling $123.20 2,741 1,176
Tooth Extraction $115.11 1,653 539
Dental Crown $302.13 543 229

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