Based on public Medicaid payment data.
Mae Sedaghati Languri
Medicaid Provider in Cookeville, TN
Type
Individual Provider
Address
694 S Willow Ave
Cookeville, TN 385013882
Phone
9312786793
NPI
1851801955
Procedures
5
Total Claims
40.4K
Patients Served
37.1K
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 | $30.33 | 31,766 | 31,520 |
| Dental Filling | $69.85 | 6,796 | 4,665 |
| Tooth Extraction | $61.12 | 1,510 | 688 |
| Root Canal | $81.23 | 155 | 121 |
| Dental Crown | $498.92 | 126 | 93 |
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