Based on public Medicaid payment data.
Asha Yamini Ponugoti
Medicaid Provider in Grayson, GA
Type
Individual Provider
Address
2594 Loganville Hwy
Grayson, GA 300177848
Phone
6786829819
NPI
1558569459
Procedures
3
Total Claims
35.3K
Patients Served
34.1K
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 | $23.00 | 32,770 | 32,488 |
| Dental Filling | $66.90 | 2,551 | 1,573 |
| Tooth Extraction | $70.50 | 20 | 14 |
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