Based on public Medicaid payment data.
Dale R. Theis
Medicaid Provider in Gahanna, OH
Type
Individual Provider
Address
440 Beecher Road
Gahanna, OH 432301797
Phone
6148555828
NPI
1215010780
Procedures
3
Total Claims
16.2K
Patients Served
13.7K
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 | $22.88 | 10,889 | 10,436 |
| Dental Filling | $53.32 | 4,664 | 2,903 |
| Tooth Extraction | $51.58 | 691 | 326 |
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