Based on public Medicaid payment data.
Carlos E Pirela Gomez
Medicaid Provider in Florissant, MO
Type
Individual Provider
Address
11642 W Florissant Ave
Florissant, MO 630336723
Phone
3143677848
NPI
1942441563
Procedures
3
Total Claims
368
Patients Served
301
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 | $78.70 | 310 | 245 |
| Tooth Extraction | $109.03 | 46 | 44 |
| Dental Filling | $91.52 | 12 | 12 |
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