Based on public Medicaid payment data.
Kirstina Jessica Gratz
Medicaid Provider in Goshen, IN
Type
Individual Provider
Address
21781 Omega Ct
Goshen, IN 465287809
Phone
3194308601
NPI
1083992689
Procedures
5
Total Claims
6.2K
Patients Served
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 | $28.50 | 4,906 | 4,235 |
| Root Canal | $118.55 | 441 | 140 |
| Prescription Medications | $0.00 | 317 | 294 |
| Dental Filling | $74.35 | 286 | 165 |
| Tooth Extraction | $118.47 | 279 | 152 |
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