Based on public Medicaid payment data.
Tyler J Holley
Medicaid Provider in Orlando, FL
Type
Individual Provider
Address
207 W Gore St Ste 302
Orlando, FL 328061014
Phone
4078398407
NPI
1154760411
Procedures
2
Total Claims
108
Patients Served
88
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 | $10.76 | 76 | 75 |
| Tooth Extraction | $214.91 | 32 | 13 |
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