Based on public Medicaid payment data.
Katie Park Siegel
Medicaid Provider in Riverview, FL
Type
Individual Provider
Address
11246 Sullivan St
Riverview, FL 335782140
Phone
8135300111
NPI
1033745344
Procedures
2
Total Claims
293
Patients Served
151
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 |
|---|---|---|---|
| Tooth Extraction | $20.50 | 193 | 52 |
| Dental Cleaning & Exam | $6.43 | 100 | 99 |
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