Based on public Medicaid payment data.
Paulina Ariadna Lara Gutierrez
Medicaid Provider in Mentor, OH
Type
Individual Provider
Address
7610 Mentor Ave
Mentor, OH 440605411
Phone
4409759300
NPI
1558853036
Procedures
3
Total Claims
3.1K
Patients Served
2K
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 | $22.08 | 1,584 | 1,457 |
| Dental Filling | $54.61 | 1,200 | 442 |
| Tooth Extraction | $55.87 | 347 | 149 |
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