Based on public Medicaid payment data.
Rosalyn Sulyanto
Medicaid Provider in Columbus, OH
Type
Individual Provider
Address
700 Childrens Dr
Columbus, OH 432052664
Phone
6143550777
NPI
1174818066
Procedures
2
Total Claims
70
Patients Served
52
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 Filling | $86.24 | 42 | 24 |
| Dental Cleaning & Exam | $29.00 | 28 | 28 |
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