Based on public Medicaid payment data.
Mompoloki Benson Kealeboga Nkhumane
Medicaid Provider in Dayton, OH
Type
Individual Provider
Address
405 W Grand Ave
Dayton, OH 45405
Phone
9373956665
NPI
1144553553
Procedures
4
Total Claims
217
Patients Served
138
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 |
|---|---|---|---|
| Blood Work & Lab Tests | $1.31 | 171 | 96 |
| EKG / ECG (Electrocardiogram) | $0.00 | 19 | 15 |
| Emergency Room Visit | $180.25 | 14 | 14 |
| X-Ray | $0.00 | 13 | 13 |
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