Based on public Medicaid payment data.
Saimel Roque De Escobar
Medicaid Provider in Tampa, FL
Type
Individual Provider
Address
1860 E Fowler Ave
Tampa, FL 336125511
Phone
7878762042
NPI
1598327793
Procedures
3
Total Claims
555
Patients Served
272
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 | $5.36 | 274 | 193 |
| Dental Filling | $9.62 | 185 | 59 |
| Tooth Extraction | $9.68 | 96 | 20 |
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