Based on public Medicaid payment data.
Daniela Oliveira Lemoine
Medicaid Provider in Marietta, GA
Type
Individual Provider
Address
1401 Johnson Ferry Rd Ste 164
Marietta, GA 300626499
Phone
4707956677
NPI
1336632454
Procedures
2
Total Claims
1K
Patients Served
1K
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 | $24.33 | 995 | 987 |
| Dental Filling | $98.07 | 14 | 14 |
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