Based on public Medicaid payment data.
Loredana Banu Wycliffe
Medicaid Provider in Benton, AR
Type
Individual Provider
Address
216 E Carpenter St
Benton, AR 720153418
Phone
5013151512
NPI
1700309127
Procedures
1
Total Claims
55
Patients Served
52
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 | $31.80 | 55 | 52 |
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