Based on public Medicaid payment data.
Esther Ordonez Fernandez
Medicaid Provider in Lutz, FL
Type
Individual Provider
Address
19721 State Road 54
Lutz, FL 335587807
Phone
8134353462
NPI
1346736097
Procedures
3
Total Claims
2.1K
Patients Served
1.3K
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 | $5.91 | 1,740 | 1,146 |
| Dental Filling | $19.92 | 231 | 114 |
| Tooth Extraction | $22.54 | 172 | 83 |
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