Based on public Medicaid payment data.
Nathalee Soto-Gonzalez
Medicaid Provider in South Bend, IN
Type
Individual Provider
Address
17901 Turners Dr
South Bend, IN 466351529
Phone
5742720466
NPI
1588948228
Procedures
3
Total Claims
968
Patients Served
943
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 | $20.29 | 890 | 882 |
| Dental Filling | $64.30 | 53 | 37 |
| Tooth Extraction | $44.98 | 25 | 24 |
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