Based on public Medicaid payment data.
Leroy Baca
Medicaid Provider in T Or C, NM
Type
Individual Provider
Address
1960 N Date St
T Or C, NM 879013701
Phone
5052673088
NPI
1154314177
Procedures
1
Total Claims
263
Patients Served
262
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 | $0.00 | 263 | 262 |
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