Based on public Medicaid payment data.
Edwin Osmand Peralta
Medicaid Provider in Odessa, TX
Type
Individual Provider
Address
2260 Linda Ave Ste 103
Odessa, TX 797632665
Phone
4326142246
NPI
1164002390
Procedures
2
Total Claims
4.2K
Patients Served
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 | $41.28 | 4,139 | 3,957 |
| Dental Filling | $86.77 | 80 | 44 |
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