Based on public Medicaid payment data.
Omar Luis Estevez Delgado
Medicaid Provider in South Pasadena, FL
Type
Individual Provider
Address
6882 Gulfport Blvd S
South Pasadena, FL 337072108
Phone
7273849655
NPI
1558979484
Procedures
3
Total Claims
2.1K
Patients Served
1.8K
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 | $6.13 | 1,331 | 1,311 |
| Dental Filling | $28.77 | 716 | 473 |
| Tooth Extraction | $27.12 | 16 | 13 |
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