Based on public Medicaid payment data.
Keli Rose Hollis
Medicaid Provider in Canton, NY
Type
Individual Provider
Address
1956 Old Dekalb Rd
Canton, NY 136173134
Phone
3153862960
NPI
1487885505
Procedures
2
Total Claims
124
Patients Served
83
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 | $35.72 | 103 | 71 |
| Dental Filling | $47.52 | 21 | 12 |
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