Based on public Medicaid payment data.
Theadora Imbrogno
Medicaid Provider in Fayette City, PA
Type
Individual Provider
Address
113 Williams Rd
Fayette City, PA 154381141
Phone
7242475792
NPI
1871202440
Procedures
3
Total Claims
2.1K
Patients Served
2K
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 | $0.00 | 1,840 | 1,840 |
| Dental Filling | $0.00 | 195 | 171 |
| Tooth Extraction | $0.00 | 28 | 12 |
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