Based on public Medicaid payment data.
Gus Pulos
Medicaid Provider in Indianapolis, IN
Type
Individual Provider
Address
1002 N Mitthoeffer Rd
Indianapolis, IN 462292461
Phone
3178986666
NPI
1184743890
Procedures
1
Total Claims
12
Patients Served
12
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 | $26.95 | 12 | 12 |
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