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Based on public Medicaid payment data.

Dominique Levon Durham

Medicaid Provider in Tallahassee, FL

Type

Individual Provider

Address

2613 S Monroe St

Tallahassee, FL 323016308

Phone

0366850759

NPI

1053972257

Procedures

3

Total Claims

6.2K

Patients Served

5.4K

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 $19.13 5,455 4,889
Dental Filling $35.57 568 435
Tooth Extraction $25.95 174 81

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