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Based on public Medicaid payment data.

Kristopher John Kelly

Medicaid Provider in Kyle, SD

Type

Individual Provider

Address

1000 Health Center Road

Kyle, SD 577520540

Phone

6054558025

NPI

1053354258

Procedures

3

Total Claims

2.7K

Patients Served

2.4K

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 Cleaning & Exam $3.57 1,894 1,827
Dental Filling $11.20 638 454
Tooth Extraction $2.40 149 101

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