Based on public Medicaid payment data.
Lakshmi Sravya Rallabandi
Medicaid Provider in Evansville, IN
Type
Individual Provider
Address
804 S Green River Rd Ste A
Evansville, IN 477154106
Phone
8123241981
NPI
1932884160
Procedures
3
Total Claims
1.1K
Patients Served
921
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 | $43.98 | 814 | 785 |
| Dental Filling | $92.60 | 159 | 100 |
| Tooth Extraction | $108.47 | 100 | 36 |
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