Based on public Medicaid payment data.
Thaer Daifallah
Medicaid Provider in Kansas City, MO
Type
Individual Provider
Address
2101 Charlotte St
Kansas City, MO 641082727
Phone
8164040500
NPI
1699901868
Procedures
4
Total Claims
1.4K
Patients Served
1.2K
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 |
|---|---|---|---|
| Office Visit | $66.01 | 887 | 835 |
| Dental Cleaning & Exam | $45.13 | 264 | 244 |
| Tooth Extraction | $133.52 | 250 | 69 |
| Urinalysis & Urine Tests | $176.38 | 12 | 12 |
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