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Based on public Medicaid payment data.

Luis Acevedo Rodriguez

Medicaid Provider in Monroe, WA

Type

Individual Provider

Address

17707 W Main St

Monroe, WA 982721967

Phone

3602823900

NPI

1992114441

Procedures

3

Total Claims

14K

Patients Served

13.1K

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 $30.59 10,732 10,500
Dental Filling $54.63 2,257 1,924
Tooth Extraction $42.33 969 670

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