Based on public Medicaid payment data.
Sally Ann Keese Clark
Medicaid Provider in Hot Springs, SD
Type
Individual Provider
Address
602 Jennings Ave
Hot Springs, SD 577471691
Phone
6057453975
NPI
1124227335
Procedures
3
Total Claims
5.2K
Patients Served
4.9K
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 | $0.00 | 4,220 | 4,185 |
| Dental Filling | $0.00 | 1,006 | 689 |
| Tooth Extraction | $0.00 | 17 | 12 |
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