Based on public Medicaid payment data.
Carlotta Fantin-Yusta
Medicaid Provider in Detroit, MI
Type
Individual Provider
Address
4646 John R St
Detroit, MI 482011916
Phone
3135761000
NPI
1164991600
Procedures
2
Total Claims
242
Patients Served
242
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 | $31.10 | 230 | 230 |
| Dental Filling | $58.56 | 12 | 12 |
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