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Based on public Medicaid payment data.

Lauren Lee Polito

Medicaid Provider in Fayetteville, GA

Type

Individual Provider

Address

1233 Highway 54 W Ste 100

Fayetteville, GA 302144542

Phone

7704616465

NPI

1770868382

Procedures

3

Total Claims

2K

Patients Served

1.5K

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 $33.53 1,227 1,196
Dental Filling $67.65 772 306
Tooth Extraction $106.87 27 13

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