Based on public Medicaid payment data.
Gabrielle Passidomo
Medicaid Provider in Dayton, OH
Type
Individual Provider
Address
3609 N Dixie Dr
Dayton, OH 454145232
Phone
9372787954
NPI
1760111991
Procedures
3
Total Claims
7.5K
Patients Served
6.3K
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 | $35.03 | 4,062 | 4,013 |
| Dental Filling | $80.71 | 3,443 | 2,291 |
| Tooth Extraction | $57.69 | 43 | 24 |
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