Based on public Medicaid payment data.
Jayakumar Samuel
Medicaid Provider in Espanola, NM
Type
Individual Provider
Address
232 N Paseo De Onate
Espanola, NM 875322623
Phone
5057537246
NPI
1730608928
Procedures
3
Total Claims
1.7K
Patients Served
1.5K
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 | $32.42 | 1,373 | 1,353 |
| Tooth Extraction | $86.07 | 218 | 103 |
| Dental Filling | $61.59 | 131 | 59 |
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