Based on public Medicaid payment data.
Porchusa Larai Combs
Medicaid Provider in Louisville, KY
Type
Individual Provider
Address
982 Eastern Pkwy
Louisville, KY 402171566
Phone
5028525642
NPI
1699037390
Procedures
4
Total Claims
50.9K
Patients Served
43K
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 | $35.06 | 37,827 | 37,123 |
| Dental Filling | $69.36 | 5,576 | 2,762 |
| Root Canal | $67.34 | 4,444 | 1,592 |
| Tooth Extraction | $56.86 | 3,029 | 1,521 |
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