Based on public Medicaid payment data.
Viviana Patricia Mora
Medicaid Provider in Mulberry, FL
Type
Individual Provider
Address
106 Nw 9Th Ave
Mulberry, FL 338602922
Phone
8632915110
NPI
1811372154
Procedures
2
Total Claims
172
Patients Served
162
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 | $81.34 | 149 | 149 |
| Dental Filling | $26.95 | 23 | 13 |
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