Based on public Medicaid payment data.
Tim P Nicolino
Medicaid Provider in Des Moines, IA
Type
Individual Provider
Address
1004 E Park Ave
Des Moines, IA 503152451
Phone
5152447428
NPI
1104907385
Procedures
3
Total Claims
7.9K
Patients Served
6.9K
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 | $24.75 | 6,398 | 6,229 |
| Tooth Extraction | $68.13 | 1,385 | 611 |
| Dental Crown | $387.88 | 67 | 47 |
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