Based on public Medicaid payment data.
Mariam Hanna
Medicaid Provider in Indianapolis, IN
Type
Individual Provider
Address
4401 E 10Th St
Indianapolis, IN 462012744
Phone
3176599045
NPI
1033959580
Procedures
3
Total Claims
1.6K
Patients Served
913
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 Filling | $105.82 | 757 | 293 |
| Dental Cleaning & Exam | $40.03 | 549 | 496 |
| Tooth Extraction | $179.99 | 307 | 124 |
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