Based on public Medicaid payment data.
Kenny Farivari
Medicaid Provider in La Vista, NE
Type
Individual Provider
Address
8041 S 83Rd Ave
La Vista, NE 681282490
Phone
4028841174
NPI
1275896847
Procedures
2
Total Claims
11.7K
Patients Served
11.1K
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 | $36.97 | 10,247 | 10,196 |
| Dental Filling | $130.90 | 1,480 | 938 |
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