Based on public Medicaid payment data.
Diego H. Gonzalez
Medicaid Provider in Indian Trail, NC
Type
Individual Provider
Address
1002 Cabra Ct
Indian Trail, NC 280795370
Phone
9736105411
NPI
1770607525
Procedures
4
Total Claims
27.7K
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 | $30.10 | 16,348 | 15,042 |
| Dental Filling | $94.45 | 8,024 | 4,175 |
| Tooth Extraction | $66.77 | 3,307 | 1,398 |
| Root Canal | $66.95 | 19 | 13 |
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