Based on public Medicaid payment data.
Vivianne J Khalife
Medicaid Provider in Johnston, RI
Type
Individual Provider
Address
1136 Hartford Ave
Johnston, RI 029197111
Phone
4015213661
NPI
1689627309
Procedures
4
Total Claims
25.8K
Patients Served
22.8K
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 | $39.09 | 19,510 | 18,853 |
| Dental Filling | $67.79 | 4,513 | 3,057 |
| Dental Crown | $670.32 | 1,285 | 599 |
| Tooth Extraction | $82.15 | 523 | 293 |
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