Based on public Medicaid payment data.
Jeffrey Raymond Gudowicz
Medicaid Provider in Cleveland, OH
Type
Individual Provider
Address
4071 Lee Rd Ste 260
Cleveland, OH 441282173
Phone
2167270234
NPI
1861069247
Procedures
4
Total Claims
8K
Patients Served
6.2K
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 | $33.26 | 5,760 | 4,886 |
| Dental Filling | $80.50 | 1,649 | 1,092 |
| Tooth Extraction | $84.34 | 577 | 248 |
| Dental Crown | $777.67 | 21 | 17 |
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