Based on public Medicaid payment data.
Kyandukhta B Kalantari
Medicaid Provider in Kennesaw, GA
Type
Individual Provider
Address
1350 Wooten Lake Rd Nw
Kennesaw, GA 301441344
Phone
6782752066
NPI
1780884221
Procedures
3
Total Claims
2.7K
Patients Served
1.4K
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 Filling | $113.01 | 1,571 | 390 |
| Dental Cleaning & Exam | $22.50 | 940 | 908 |
| Tooth Extraction | $109.80 | 210 | 78 |
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