Based on public Medicaid payment data.
Marycarmen Carpio Hernandez
Medicaid Provider in Indianapolis, IN
Type
Individual Provider
Address
3636 E 38Th St
Indianapolis, IN 462181454
Phone
3177430300
NPI
1235741083
Procedures
3
Total Claims
7.2K
Patients Served
6.9K
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 | $38.58 | 6,401 | 6,382 |
| Dental Filling | $78.60 | 721 | 536 |
| Tooth Extraction | $129.37 | 37 | 28 |
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