Based on public Medicaid payment data.
Issa Khoury
Medicaid Provider in Livonia, MI
Type
Individual Provider
Address
17320 Farmington Rd
Livonia, MI 48152
Phone
7342611760
NPI
1265511828
Procedures
1
Total Claims
236
Patients Served
236
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 | $28.73 | 236 | 236 |
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