Based on public Medicaid payment data.
Raqueline Bruno De Sousa
Medicaid Provider in Sarasota, FL
Type
Individual Provider
Address
3466 Clark Rd Ste 410
Sarasota, FL 342318406
Phone
9419271705
NPI
1881265395
Procedures
2
Total Claims
262
Patients Served
152
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 | $4.60 | 217 | 140 |
| Dental Filling | $0.00 | 45 | 12 |
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