Based on public Medicaid payment data.
Daman P Simantiris
Medicaid Provider in Cleveland, OH
Type
Individual Provider
Address
2500 Clark Ave
Cleveland, OH 441091111
Phone
2168601195
NPI
1619238854
Procedures
4
Total Claims
44.6K
Patients Served
35.5K
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 | $26.13 | 29,107 | 28,212 |
| Tooth Extraction | $57.17 | 8,401 | 3,222 |
| Dental Filling | $68.48 | 7,064 | 4,032 |
| Dental Crown | $813.28 | 54 | 42 |
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