Based on public Medicaid payment data.
Shannon Jane Kaiser
Medicaid Provider in Baltimore, MD
Type
Individual Provider
Address
4019 Wilkens Avenue
Baltimore, MD 21229
Phone
4106442200
NPI
1861531444
Procedures
3
Total Claims
1.7K
Patients Served
1.6K
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 | $46.77 | 1,494 | 1,470 |
| Dental Filling | $132.46 | 174 | 105 |
| Tooth Extraction | $114.00 | 37 | 13 |
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