Based on public Medicaid payment data.
Lakeside Dental Surgery Center Llc
Medicaid Provider in Jacksonville, FL
Type
Organization
Address
9143 Philips Hwy Ste 515
Jacksonville, FL 322561348
Phone
9043957772
NPI
1598483414
Procedures
4
Total Claims
14.2K
Patients Served
6.8K
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 Filling | $440.77 | 5,983 | 3,029 |
| Tooth Extraction | $288.33 | 3,891 | 1,533 |
| Root Canal | $117.73 | 3,255 | 1,358 |
| Dental Cleaning & Exam | $18.83 | 1,038 | 891 |
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