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Based on public Medicaid payment data.

Valmont P Desa

Medicaid Provider in Omaha, NE

Type

Individual Provider

Address

988102 Nebraska Medical Ctr

Omaha, NE 681988102

Phone

4025595999

NPI

1891753067

Procedures

4

Total Claims

10K

Patients Served

4.2K

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 $69.15 7,403 1,698
Dental Cleaning & Exam $21.31 2,450 2,351
Prescription Medications $69.12 108 102
Office Visit $29.29 79 76

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