Based on public Medicaid payment data.
Annette Lastra Perez
Medicaid Provider in Miami, FL
Type
Individual Provider
Address
2336 Sw 122Nd Ct
Miami, FL 331757317
Phone
7864680296
NPI
1942745385
Procedures
3
Total Claims
4.4K
Patients Served
3.5K
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 | $22.35 | 2,243 | 2,228 |
| Dental Filling | $38.08 | 2,085 | 1,239 |
| Tooth Extraction | $27.47 | 44 | 28 |
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