Based on public Medicaid payment data.
Michael Pampalon
Medicaid Provider in Kailua Kona, HI
Type
Individual Provider
Address
75-1028 Henry St
Kailua Kona, HI 967401693
Phone
8083290025
NPI
1902049174
Procedures
2
Total Claims
1.1K
Patients Served
914
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 | $28.39 | 767 | 766 |
| Tooth Extraction | $153.94 | 315 | 148 |
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