Based on public Medicaid payment data.
Zhanna Konovalenko
Medicaid Provider in Lebanon, TN
Type
Individual Provider
Address
920 S Hartmann Dr Ste 210
Lebanon, TN 370904137
Phone
9312937592
NPI
1962957233
Procedures
1
Total Claims
15
Patients Served
15
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 | $28.58 | 15 | 15 |
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