Based on public Medicaid payment data.
Michael Antonia Davis
Medicaid Provider in Indianapolis, IN
Type
Individual Provider
Address
3231 N Meridian St
Indianapolis, IN 462085848
Phone
3179236964
NPI
1558413575
Procedures
3
Total Claims
557
Patients Served
481
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 | $43.25 | 409 | 403 |
| Dental Filling | $96.55 | 123 | 65 |
| Tooth Extraction | $184.79 | 25 | 13 |
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