Based on public Medicaid payment data.
Carlo C Lo
Medicaid Provider in Indianapolis, IN
Type
Individual Provider
Address
3955 Eagle Creek Parkway, Suite E
Indianapolis, IN 46254
Phone
3172912848
NPI
1417991639
Procedures
2
Total Claims
435
Patients Served
273
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 |
|---|---|---|---|
| Tooth Extraction | $197.88 | 270 | 108 |
| Dental Cleaning & Exam | $43.05 | 165 | 165 |
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