Based on public Medicaid payment data.
Lourdes Alexandra Manibo
Medicaid Provider in Bradenton, FL
Type
Individual Provider
Address
4800 Lakewood Ranch Blvd
Bradenton, FL 342114953
Phone
9414051600
NPI
1730312760
Procedures
3
Total Claims
6.3K
Patients Served
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 | $15.06 | 4,104 | 3,767 |
| Dental Filling | $28.96 | 1,453 | 960 |
| Tooth Extraction | $17.29 | 762 | 261 |
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