Based on public Medicaid payment data.
Kyle Pettersen
Medicaid Provider in Lilburn, GA
Type
Individual Provider
Address
609 Beaver Ruin Rd Nw # A
Lilburn, GA 300473401
Phone
6786069407
NPI
1275849986
Procedures
4
Total Claims
27.1K
Patients Served
20.4K
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 | $37.90 | 14,289 | 14,259 |
| Dental Filling | $62.07 | 8,677 | 4,207 |
| Root Canal | $97.14 | 2,112 | 715 |
| Tooth Extraction | $56.91 | 2,034 | 1,218 |
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