Based on public Medicaid payment data.
Allen Gotora
Medicaid Provider in Silver Spring, MD
Type
Individual Provider
Address
11239 Lockwood Dr
Silver Spring, MD 209014554
Phone
3017541900
NPI
1780831289
Procedures
3
Total Claims
33K
Patients Served
29.5K
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 | $41.47 | 26,682 | 26,140 |
| Dental Filling | $116.54 | 6,308 | 3,310 |
| Tooth Extraction | $58.52 | 41 | 30 |
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