Based on public Medicaid payment data.
Gladys Prieto
Medicaid Provider in Davidson, NC
Type
Individual Provider
Address
13038 Westmoreland Farm Rd
Davidson, NC 280368094
Phone
7043906505
NPI
1639413008
Procedures
4
Total Claims
14.5K
Patients Served
14K
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 | $31.09 | 13,724 | 13,593 |
| Tooth Extraction | $70.11 | 454 | 162 |
| Dental Filling | $83.95 | 220 | 132 |
| Prescription Medications | $1.61 | 92 | 92 |
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