Based on public Medicaid payment data.
Edward Ylagan Jimenez
Medicaid Provider in Cleveland, OH
Type
Individual Provider
Address
7055 Engle Rd
Cleveland, OH 441308491
Phone
4402431600
NPI
1831252097
Procedures
4
Total Claims
10.7K
Patients Served
9.1K
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 | $28.13 | 7,879 | 7,428 |
| Dental Filling | $63.22 | 2,789 | 1,659 |
| Tooth Extraction | $53.48 | 46 | 25 |
| Dental Crown | $809.24 | 20 | 12 |
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