Based on public Medicaid payment data.
Ryan Del Mundo Cordero
Medicaid Provider in Tacoma, WA
Type
Individual Provider
Address
2501 N Pearl St
Tacoma, WA 984062540
Phone
2537526349
NPI
1033594072
Procedures
4
Total Claims
16.7K
Patients Served
14.3K
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 | $37.56 | 11,892 | 11,064 |
| Dental Filling | $54.90 | 3,704 | 2,517 |
| Tooth Extraction | $62.64 | 1,104 | 677 |
| Dental Crown | $476.00 | 30 | 26 |
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