Based on public Medicaid payment data.
Derek Nobrega
Medicaid Provider in Providence, RI
Type
Individual Provider
Address
21 Peace St
Providence, RI 029071510
Phone
4014564461
NPI
1871858233
Procedures
3
Total Claims
8.2K
Patients Served
7K
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 | $35.39 | 6,511 | 5,990 |
| Dental Filling | $90.05 | 1,065 | 729 |
| Tooth Extraction | $84.95 | 671 | 283 |
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