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Based on public Medicaid payment data.

Levi R Evalt

Medicaid Provider in Corry, PA

Type

Individual Provider

Address

209 N Center St

Corry, PA 164071626

Phone

8146642012

NPI

1942488952

Procedures

3

Total Claims

1.4K

Patients Served

1.2K

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 $25.22 1,056 1,052
Dental Filling $54.98 216 101
Tooth Extraction $65.00 88 12

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