Based on public Medicaid payment data.
Vladimir Khantsis
Medicaid Provider in Indianapolis, IN
Type
Individual Provider
Address
4825 E 96Th St
Indianapolis, IN 462403800
Phone
3178180800
NPI
1639243470
Procedures
1
Total Claims
30
Patients Served
30
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 | $43.66 | 30 | 30 |
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