Based on public Medicaid payment data.
Victor Matthew Pacheco
Medicaid Provider in Tucumcari, NM
Type
Individual Provider
Address
305 E Washington Ave
Tucumcari, NM 884013873
Phone
6233833839
NPI
1346735412
Procedures
3
Total Claims
5.4K
Patients Served
3.8K
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 | $20.19 | 5,167 | 3,661 |
| Dental Filling | $47.47 | 140 | 82 |
| Tooth Extraction | $3.98 | 66 | 12 |
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