Based on public Medicaid payment data.
Sandra Renae Fox
Medicaid Provider in Indianola, IA
Type
Individual Provider
Address
2001 N 6Th St
Indianola, IA 501254873
Phone
3192830284
NPI
1952666307
Procedures
5
Total Claims
15.1K
Patients Served
13.8K
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 | $25.19 | 13,007 | 12,675 |
| Tooth Extraction | $50.10 | 957 | 503 |
| Dental Filling | $61.79 | 829 | 515 |
| Root Canal | $46.54 | 294 | 101 |
| Prescription Medications | $40.64 | 28 | 25 |
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