Based on public Medicaid payment data.
Samta Rajan
Medicaid Provider in Bellefontaine, OH
Type
Individual Provider
Address
2303 S Main St
Bellefontaine, OH 433111566
Phone
9375950080
NPI
1174362008
Procedures
2
Total Claims
398
Patients Served
309
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 Filling | $116.08 | 201 | 113 |
| Dental Cleaning & Exam | $53.38 | 197 | 196 |
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