Based on public Medicaid payment data.
Brian Dezso Detari
Medicaid Provider in Chattanooga, TN
Type
Individual Provider
Address
410 High St
Chattanooga, TN 374031712
Phone
4232679124
NPI
1619950573
Procedures
2
Total Claims
170
Patients Served
146
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 | $17.83 | 130 | 127 |
| Tooth Extraction | $37.84 | 40 | 19 |
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