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Based on public Medicaid payment data.

Keith Simon

Medicaid Provider in Tampa, FL

Type

Individual Provider

Address

4340 W Hillsborough Ave Ste 702

Tampa, FL 336145560

Phone

8134453240

NPI

1457748154

Procedures

3

Total Claims

16.2K

Patients Served

12.4K

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 $24.87 10,247 10,199
Dental Filling $57.63 5,798 2,051
Tooth Extraction $4.07 179 110

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