Based on public Medicaid payment data.
Theresa Brown-Doonquah
Medicaid Provider in Santo Domingo Pueblo, NM
Type
Individual Provider
Address
85 West Highway 22
Santo Domingo Pueblo, NM 870520340
Phone
5054653078
NPI
1164529277
Procedures
3
Total Claims
1.3K
Patients Served
1K
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 | $28.51 | 727 | 684 |
| Dental Filling | $83.22 | 354 | 201 |
| Tooth Extraction | $84.32 | 170 | 115 |
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