Based on public Medicaid payment data.
Mayra Rook
Medicaid Provider in Centerville, IA
Type
Individual Provider
Address
1015 N 18Th St
Centerville, IA 525441170
Phone
6418564045
NPI
1326449356
Procedures
3
Total Claims
8.4K
Patients Served
7.6K
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 | $1.59 | 6,194 | 5,986 |
| Dental Filling | $6.40 | 1,474 | 1,087 |
| Tooth Extraction | $1.48 | 750 | 522 |
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