Based on public Medicaid payment data.
Kelsey Nicole Lewis
Medicaid Provider in Baltimore, MD
Type
Individual Provider
Address
4510 Edmondson Ave
Baltimore, MD 212291506
Phone
4102335777
NPI
1386262947
Procedures
2
Total Claims
1K
Patients Served
963
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 | $29.66 | 954 | 933 |
| Tooth Extraction | $57.54 | 52 | 30 |
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