Based on public Medicaid payment data.
Fernando Jose Jimenez
Medicaid Provider in New Port Richey, FL
Type
Individual Provider
Address
5139 Little Rd
New Port Richey, FL 346551212
Phone
8133368478
NPI
1689873523
Procedures
2
Total Claims
189
Patients Served
106
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 | $208.55 | 115 | 32 |
| Dental Cleaning & Exam | $32.92 | 74 | 74 |
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