Based on public Medicaid payment data.
Thomas Lowell Fernandes
Medicaid Provider in Spokane, WA
Type
Individual Provider
Address
105 W 8Th Ave Ste 123C
Spokane, WA 992042302
Phone
5094747498
NPI
1205114162
Procedures
2
Total Claims
3.1K
Patients Served
1.3K
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 |
|---|---|---|---|
| Tooth Extraction | $60.45 | 2,137 | 377 |
| Dental Cleaning & Exam | $40.02 | 945 | 940 |
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