Based on public Medicaid payment data.
Jeny Fernanda Dominguez Castillo
Medicaid Provider in Smyrna, GA
Type
Individual Provider
Address
2900 S Cobb Dr Se
Smyrna, GA 300807859
Phone
4702820051
NPI
1629809777
Procedures
3
Total Claims
1.8K
Patients Served
1.7K
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 | $29.90 | 1,395 | 1,391 |
| Dental Filling | $96.35 | 371 | 292 |
| Tooth Extraction | $65.98 | 29 | 26 |
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