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Based on public Medicaid payment data.

Countryside Mall Dental Pa

Medicaid Provider in Clearwater, FL

Type

Organization

Address

27001 Us Highway 19 N Ste 1031B

Clearwater, FL 337613407

Phone

7276691600

NPI

1568023067

Procedures

1

Total Claims

160

Patients Served

158

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 $49.21 160 158

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