Based on public Medicaid payment data.
Keith Leslie Ray
Medicaid Provider in Louisville, KY
Type
Individual Provider
Address
5713 Bardstown Rd
Louisville, KY 402911913
Phone
5022311418
NPI
1902896814
Procedures
3
Total Claims
3.7K
Patients Served
2.9K
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 | $34.32 | 2,740 | 2,495 |
| Dental Filling | $63.05 | 958 | 389 |
| Tooth Extraction | $111.81 | 31 | 16 |
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