Based on public Medicaid payment data.
Selene Ayuso
Medicaid Provider in Springfield, PA
Type
Individual Provider
Address
130 S State Rd Ste 300
Springfield, PA 190641232
Phone
6106221949
NPI
1215552633
Procedures
4
Total Claims
11.9K
Patients Served
11.2K
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 | $31.93 | 10,304 | 10,030 |
| Dental Filling | $69.49 | 1,102 | 880 |
| Tooth Extraction | $72.10 | 440 | 241 |
| Root Canal | $98.75 | 54 | 31 |
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