Based on public Medicaid payment data.
Miranda Alise Jimenez
Medicaid Provider in Kansas City, MO
Type
Individual Provider
Address
2121 Summit St
Kansas City, MO 641082126
Phone
8164292145
NPI
1861912578
Procedures
2
Total Claims
3.3K
Patients Served
3K
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 | $39.25 | 2,809 | 2,727 |
| Dental Filling | $113.11 | 483 | 320 |
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