Based on public Medicaid payment data.
Sowmya Mysore Rajagopal
Medicaid Provider in Davenport, IA
Type
Individual Provider
Address
2180 W Kimberly Rd Spc 8
Davenport, IA 528065368
Phone
8555052378
NPI
1801204292
Procedures
2
Total Claims
8.2K
Patients Served
7.4K
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 | $30.44 | 7,100 | 6,836 |
| Dental Filling | $70.14 | 1,055 | 543 |
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