Based on public Medicaid payment data.
Sogol Davari
Medicaid Provider in La Grange, KY
Type
Individual Provider
Address
2005 S Highway 53
La Grange, KY 400319109
Phone
5022250074
NPI
1144055831
Procedures
1
Total Claims
45
Patients Served
37
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 | $12.68 | 45 | 37 |
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