Based on public Medicaid payment data.
Stanley Warren Kaczkowski
Medicaid Provider in Cross Lanes, WV
Type
Individual Provider
Address
5376 Big Tyler Rd
Cross Lanes, WV 253131059
Phone
3047762223
NPI
1962502831
Procedures
2
Total Claims
463
Patients Served
421
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 | $27.36 | 441 | 408 |
| Tooth Extraction | $5.91 | 22 | 13 |
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