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Based on public Medicaid payment data.

Pratheek Choudary Koneru

Medicaid Provider in Charlotte, NC

Type

Individual Provider

Address

8505 Davis Lake Pkwy

Charlotte, NC 282693415

Phone

9804306822

NPI

1013576735

Procedures

3

Total Claims

2.8K

Patients Served

1.9K

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 $27.30 2,082 1,612
Tooth Extraction $66.87 471 186
Dental Filling $62.08 226 67

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