Based on public Medicaid payment data.
Shaza Basbar Dafalla
Medicaid Provider in Louisville, KY
Type
Individual Provider
Address
3934 Dutchmans Ln
Louisville, KY 402074702
Phone
5028970625
NPI
1326526211
Procedures
3
Total Claims
6.3K
Patients Served
5.6K
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 | $37.70 | 5,900 | 5,377 |
| Tooth Extraction | $77.90 | 215 | 108 |
| Dental Filling | $57.75 | 201 | 130 |
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