Based on public Medicaid payment data.
Dante Davis
Medicaid Provider in Columbus, OH
Type
Individual Provider
Address
4089 W Broad St
Columbus, OH 432281614
Phone
6149540700
NPI
1467200964
Procedures
3
Total Claims
1.7K
Patients Served
1.3K
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 | $48.82 | 802 | 790 |
| Dental Filling | $104.41 | 741 | 414 |
| Tooth Extraction | $113.38 | 170 | 67 |
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