Based on public Medicaid payment data.
Sviatoslav Bouz
Medicaid Provider in Cleveland, TN
Type
Individual Provider
Address
3770 Ocoee Pl Nw Ste 101
Cleveland, TN 373126015
Phone
4234737500
NPI
1831676386
Procedures
2
Total Claims
1.1K
Patients Served
1K
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 | $30.37 | 962 | 931 |
| Dental Filling | $56.21 | 182 | 72 |
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