Based on public Medicaid payment data.
Srivarsha Ponna
Medicaid Provider in Bossier City, LA
Type
Individual Provider
Address
2285 Benton Rd Ste C100
Bossier City, LA 711113465
Phone
3187429333
NPI
1093367153
Procedures
5
Total Claims
30.3K
Patients Served
22.8K
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 | $32.42 | 22,476 | 18,686 |
| Dental Filling | $79.98 | 3,144 | 2,097 |
| Tooth Extraction | $75.44 | 2,477 | 1,028 |
| Root Canal | $99.78 | 1,971 | 846 |
| Prescription Medications | $0.00 | 214 | 181 |
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