Based on public Medicaid payment data.
Tae Jaymes Barto
Medicaid Provider in Des Moines, IA
Type
Individual Provider
Address
6057 Se 14Th St
Des Moines, IA 503201704
Phone
5152854759
NPI
1356578975
Procedures
4
Total Claims
37.2K
Patients Served
32.5K
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 | $25.17 | 27,793 | 27,467 |
| Dental Filling | $69.46 | 6,607 | 3,824 |
| Tooth Extraction | $73.94 | 2,077 | 709 |
| Dental Crown | $388.49 | 755 | 495 |
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