Based on public Medicaid payment data.
Kylie Rochelle Bontrager
Medicaid Provider in Indianapolis, IN
Type
Individual Provider
Address
8001 Shelby St Ste 2
Indianapolis, IN 462275985
Phone
3178821536
NPI
1205386687
Procedures
3
Total Claims
3.9K
Patients Served
3.6K
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 | $35.32 | 3,677 | 3,499 |
| Dental Filling | $46.98 | 107 | 73 |
| Tooth Extraction | $96.70 | 99 | 56 |
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