Based on public Medicaid payment data.
Miralda G Moreno
Medicaid Provider in Kansas City, KS
Type
Individual Provider
Address
753 State Ave
Kansas City, KS 661012516
Phone
9136471900
NPI
1982605168
Procedures
3
Total Claims
16.9K
Patients Served
13.7K
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 | $30.41 | 11,615 | 11,472 |
| Dental Filling | $69.35 | 5,211 | 2,196 |
| Tooth Extraction | $93.53 | 102 | 56 |
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