Based on public Medicaid payment data.
Nuvia Jeanette Lemus-Diaz
Medicaid Provider in Dodge City, KS
Type
Individual Provider
Address
2001 Central Ave
Dodge City, KS 678016410
Phone
6202279797
NPI
1457960452
Procedures
4
Total Claims
19.1K
Patients Served
14.8K
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 | $27.60 | 12,652 | 11,759 |
| Dental Filling | $71.78 | 4,153 | 2,227 |
| Tooth Extraction | $59.09 | 2,050 | 779 |
| Root Canal | $49.38 | 214 | 70 |
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