Based on public Medicaid payment data.
Allison C Scully
Medicaid Provider in Indianapolis, IN
Type
Individual Provider
Address
1121 W Michigan Street Ds307B
Indianapolis, IN 462025186
Phone
3172747433
NPI
1629443544
Procedures
3
Total Claims
717
Patients Served
634
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 | $37.35 | 658 | 608 |
| Tooth Extraction | $127.11 | 41 | 14 |
| Dental Filling | $64.13 | 18 | 12 |
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