Based on public Medicaid payment data.
Juan Ignacio Espinoza
Medicaid Provider in Philadelphia, PA
Type
Individual Provider
Address
324 W Roosevelt Blvd
Philadelphia, PA 19120
Phone
2154555385
NPI
1821078635
Procedures
2
Total Claims
414
Patients Served
400
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 | $29.28 | 395 | 386 |
| Tooth Extraction | $53.17 | 19 | 14 |
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