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Based on public Medicaid payment data.

Kimberle Ian Monda

Medicaid Provider in Bellevue, PA

Type

Individual Provider

Address

534 Lincoln Ave

Bellevue, PA 152023508

Phone

4127667532

NPI

1295950764

Procedures

3

Total Claims

1.3K

Patients Served

1.1K

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 $24.64 989 987
Dental Filling $55.33 210 116
Tooth Extraction $65.00 77 12

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