Based on public Medicaid payment data.
Cally Lane Adams
Medicaid Provider in Honolulu, HI
Type
Individual Provider
Address
7 Waterfront Pl
Honolulu, HI 968134920
Phone
8085233103
NPI
1811042302
Procedures
4
Total Claims
28.7K
Patients Served
26.8K
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 | $38.92 | 24,219 | 24,213 |
| Tooth Extraction | $70.71 | 2,128 | 1,164 |
| Dental Filling | $66.63 | 1,814 | 1,086 |
| Root Canal | $84.07 | 520 | 316 |
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