Based on public Medicaid payment data.
Solange Lora
Medicaid Provider in Philadelphia, PA
Type
Individual Provider
Address
7300 City Ave
Philadelphia, PA 191512218
Phone
2154737717
NPI
1013426089
Procedures
3
Total Claims
1.8K
Patients Served
1.5K
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 | $27.55 | 1,410 | 1,280 |
| Dental Filling | $57.94 | 347 | 184 |
| Tooth Extraction | $65.00 | 22 | 12 |
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