Based on public Medicaid payment data.
Mateo Vidales
Medicaid Provider in Davenport, FL
Type
Individual Provider
Address
7700 Lake Wilson Rd
Davenport, FL 338969601
Phone
8634203166
NPI
1871086405
Procedures
3
Total Claims
1.8K
Patients Served
1.4K
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 | $13.65 | 1,004 | 999 |
| Dental Filling | $43.27 | 754 | 420 |
| Tooth Extraction | $31.72 | 62 | 29 |
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