Based on public Medicaid payment data.
Lakshmi J Immadi
Medicaid Provider in Tampa, FL
Type
Individual Provider
Address
5101 E Busch Blvd
Tampa, FL 336175380
Phone
2058079311
NPI
1083988901
Procedures
4
Total Claims
26.8K
Patients Served
24.1K
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 | $27.35 | 22,651 | 21,507 |
| Dental Filling | $51.21 | 3,403 | 2,082 |
| Tooth Extraction | $43.81 | 704 | 456 |
| Root Canal | $126.58 | 33 | 29 |
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