Based on public Medicaid payment data.
Zachary Andrew Kouri
Medicaid Provider in Des Moines, IA
Type
Individual Provider
Address
3830 Ingersoll Ave
Des Moines, IA 503123413
Phone
5152745151
NPI
1174609846
Procedures
1
Total Claims
50
Patients Served
50
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 | $21.75 | 50 | 50 |
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