Based on public Medicaid payment data.
Evelyn Clemente
Medicaid Provider in Deltona, FL
Type
Individual Provider
Address
2625 Roxboro Ave
Deltona, FL 327252271
Phone
3212847984
NPI
1952715443
Procedures
4
Total Claims
9.8K
Patients Served
9.2K
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 | $28.86 | 8,173 | 8,068 |
| Dental Filling | $45.67 | 1,636 | 1,092 |
| Root Canal | $65.92 | 18 | 14 |
| Tooth Extraction | $32.94 | 17 | 12 |
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