Based on public Medicaid payment data.
Erica Paige Gribble
Medicaid Provider in Kansas City, MO
Type
Individual Provider
Address
13163 State Line Rd
Kansas City, MO 641451650
Phone
8169315320
NPI
1063942126
Procedures
4
Total Claims
6.6K
Patients Served
6K
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 | $18.00 | 4,884 | 4,819 |
| Dental Filling | $48.94 | 1,617 | 1,064 |
| Tooth Extraction | $33.38 | 86 | 72 |
| Root Canal | $60.00 | 48 | 38 |
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