Based on public Medicaid payment data.
Gustavo A. Teves Salazar
Medicaid Provider in Miami, FL
Type
Individual Provider
Address
13341 Sw 110Th Ter
Miami, FL 331864351
Phone
3055101987
NPI
1639475023
Procedures
3
Total Claims
32K
Patients Served
18.1K
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 |
|---|---|---|---|
| Tooth Extraction | $112.10 | 22,708 | 8,883 |
| Dental Cleaning & Exam | $46.80 | 9,188 | 9,179 |
| Dental Filling | $61.62 | 122 | 72 |
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