Based on public Medicaid payment data.
Waldemar Daudt Polido
Medicaid Provider in Indianapolis, IN
Type
Individual Provider
Address
1121 W Michigan St
Indianapolis, IN 462025211
Phone
3172783632
NPI
1720529019
Procedures
2
Total Claims
114
Patients Served
72
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 | $36.90 | 63 | 60 |
| Tooth Extraction | $95.06 | 51 | 12 |
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