Based on public Medicaid payment data.
David Blanco
Medicaid Provider in Providence, RI
Type
Individual Provider
Address
557 Broad St
Providence, RI 029071403
Phone
4014440430
NPI
1376536730
Procedures
4
Total Claims
51.2K
Patients Served
46.4K
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 | $41.41 | 40,650 | 39,384 |
| Dental Filling | $88.34 | 10,244 | 6,821 |
| Tooth Extraction | $81.48 | 313 | 205 |
| Dental Crown | $640.07 | 15 | 14 |
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