Based on public Medicaid payment data.
Soraya Gomez
Medicaid Provider in New Carlisle, OH
Type
Individual Provider
Address
106 N Main St
New Carlisle, OH 453441835
Phone
9376671122
NPI
1427004456
Procedures
3
Total Claims
7.7K
Patients Served
5.6K
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 | $10.23 | 6,869 | 5,077 |
| Dental Filling | $18.05 | 570 | 368 |
| Tooth Extraction | $19.36 | 289 | 186 |
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