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Based on public Medicaid payment data.

Miguel Davila

Medicaid Provider in Hartford, CT

Type

Individual Provider

Address

112 South Whitney St

Hartford, CT 06105

Phone

8602475930

NPI

1811051055

Procedures

4

Total Claims

23.3K

Patients Served

20.6K

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 $29.67 17,326 16,852
Dental Filling $77.71 4,883 3,026
Tooth Extraction $63.05 1,088 722
Dental Crown $418.60 14 12

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