Based on public Medicaid payment data.
Adela Casa
Medicaid Provider in Nevada, MO
Type
Individual Provider
Address
204 N Cedar St
Nevada, MO 647722310
Phone
4175496845
NPI
1558642496
Procedures
4
Total Claims
57.7K
Patients Served
51.4K
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 | $26.92 | 48,912 | 45,981 |
| Dental Filling | $69.70 | 6,498 | 4,327 |
| Tooth Extraction | $72.49 | 2,240 | 1,109 |
| Root Canal | $44.90 | 15 | 12 |
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