Based on public Medicaid payment data.
Elmezen Oliverio Martin
Medicaid Provider in Lakeport, CA
Type
Individual Provider
Address
1281 Craig Ave
Lakeport, CA 954535704
Phone
7072456859
NPI
1033431630
Procedures
1
Total Claims
556
Patients Served
556
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 | $79.26 | 556 | 556 |
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