Based on public Medicaid payment data.
Devon Marie Kutanovski
Medicaid Provider in Crown Point, IN
Type
Individual Provider
Address
229 S East St
Crown Point, IN 463074058
Phone
2193560216
NPI
1699391953
Procedures
2
Total Claims
669
Patients Served
581
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 | $41.06 | 499 | 481 |
| Dental Filling | $96.64 | 170 | 100 |
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