Based on public Medicaid payment data.
Nicole Doherty
Medicaid Provider in Deland, FL
Type
Individual Provider
Address
2641 S Woodland Blvd
Deland, FL 327208601
Phone
3867387441
NPI
1780637736
Procedures
5
Total Claims
21K
Patients Served
17.6K
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 | $24.68 | 14,905 | 14,208 |
| Dental Filling | $56.08 | 3,747 | 2,045 |
| Tooth Extraction | $27.03 | 1,723 | 975 |
| Root Canal | $39.93 | 465 | 265 |
| Dental Crown | $257.85 | 150 | 114 |
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