Based on public Medicaid payment data.
Maulik Kotdawala
Medicaid Provider in Johnston, RI
Type
Individual Provider
Address
1384 Atwood Ave
Johnston, RI 02919
Phone
4019430400
NPI
1265661417
Procedures
3
Total Claims
45.1K
Patients Served
36.2K
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 | $11.71 | 42,992 | 34,853 |
| Dental Filling | $9.39 | 1,590 | 979 |
| Tooth Extraction | $0.84 | 485 | 336 |
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