Based on public Medicaid payment data.
Jordan Dean Da Costa
Medicaid Provider in Fort Myers, FL
Type
Individual Provider
Address
6871 Daniels Pkwy Ste 100
Fort Myers, FL 339121510
Phone
2392880537
NPI
1922747377
Procedures
1
Total Claims
60
Patients Served
56
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 | $2.85 | 60 | 56 |
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