Based on public Medicaid payment data.
Diana Tina Do Mayo
Medicaid Provider in Springfield, TN
Type
Individual Provider
Address
3130 Tom Austin Hwy Ste B
Springfield, TN 371724579
Phone
6153829005
NPI
1760869622
Procedures
4
Total Claims
6.3K
Patients Served
4.9K
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 | $25.39 | 5,306 | 4,414 |
| Dental Filling | $60.75 | 771 | 400 |
| Tooth Extraction | $48.03 | 190 | 102 |
| Root Canal | $81.38 | 15 | 13 |
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