Based on public Medicaid payment data.
Peter Lim
Medicaid Provider in Daytona Beach, FL
Type
Individual Provider
Address
1845 Holsonback Dr
Daytona Beach, FL 321175114
Phone
3862740790
NPI
1821022526
Procedures
2
Total Claims
340
Patients Served
333
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 | $34.51 | 321 | 319 |
| Dental Filling | $58.68 | 19 | 14 |
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