Based on public Medicaid payment data.
Ashton Tierra Samuels-Powell
Medicaid Provider in Louisville, KY
Type
Individual Provider
Address
3800 Springhurst Blvd Ste F
Louisville, KY 402416138
Phone
5023397707
NPI
1104564657
Procedures
3
Total Claims
1.4K
Patients Served
1.2K
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 | $38.65 | 1,175 | 1,098 |
| Dental Filling | $68.99 | 209 | 131 |
| Tooth Extraction | $70.71 | 35 | 16 |
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