Based on public Medicaid payment data.
Marcio A Dafonseca
Medicaid Provider in Columbus, OH
Type
Individual Provider
Address
555 S. 18Th Street
Columbus, OH 43205
Phone
6147224579
NPI
1548353295
Procedures
2
Total Claims
242
Patients Served
134
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 |
|---|---|---|---|
| Tooth Extraction | $247.22 | 169 | 61 |
| Dental Cleaning & Exam | $33.63 | 73 | 73 |
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