Based on public Medicaid payment data.
Robert Festus Belfon
Medicaid Provider in Tse Bonito, NM
Type
Individual Provider
Address
1575 B State Hwy 264
Tse Bonito, NM 873013339
Phone
5053715509
NPI
1164540977
Procedures
4
Total Claims
3.2K
Patients Served
2.4K
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 | $34.33 | 2,044 | 2,006 |
| Root Canal | $90.00 | 650 | 215 |
| Tooth Extraction | $71.17 | 360 | 130 |
| Dental Filling | $60.34 | 180 | 95 |
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