Based on public Medicaid payment data.
Elizabeth K. Prada Da Costa
Medicaid Provider in Sparks, MD
Type
Individual Provider
Address
100 Sparks Valley Rd
Sparks, MD 211529342
Phone
4107718200
NPI
1992907471
Procedures
3
Total Claims
3.2K
Patients Served
3K
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 | $23.97 | 2,905 | 2,890 |
| Tooth Extraction | $63.96 | 217 | 88 |
| Dental Filling | $45.09 | 103 | 62 |
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