Based on public Medicaid payment data.
Anantha L Raghumudri
Medicaid Provider in Des Moines, IA
Type
Individual Provider
Address
2353 Se 14Th St
Des Moines, IA 503201109
Phone
5152481470
NPI
1265131577
Procedures
3
Total Claims
10.6K
Patients Served
10K
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 | $29.31 | 9,272 | 9,093 |
| Dental Filling | $62.53 | 1,118 | 843 |
| Tooth Extraction | $46.40 | 173 | 111 |
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