Based on public Medicaid payment data.
Sam Ayad Issa
Medicaid Provider in Brandon, FL
Type
Individual Provider
Address
410 W Bloomingdale Ave
Brandon, FL 335117402
Phone
8136540037
NPI
1720577505
Procedures
2
Total Claims
192
Patients Served
136
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 | $30.01 | 134 | 119 |
| Tooth Extraction | $119.60 | 58 | 17 |
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