Based on public Medicaid payment data.
Samantha Jo Kelly
Medicaid Provider in Gallatin, TN
Type
Individual Provider
Address
1710 Nashville Pike # 102
Gallatin, TN 37066
Phone
6154617491
NPI
1255852661
Procedures
3
Total Claims
37.4K
Patients Served
31.8K
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 | $28.02 | 29,457 | 27,760 |
| Dental Filling | $64.93 | 5,535 | 2,944 |
| Tooth Extraction | $53.69 | 2,381 | 1,131 |
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