Based on public Medicaid payment data.
Sarah Emily Koury
Medicaid Provider in Mechanicsburg, PA
Type
Individual Provider
Address
4836 E Trindle Rd
Mechanicsburg, PA 170503635
Phone
7177375834
NPI
1902543101
Procedures
2
Total Claims
152
Patients Served
125
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 | $0.00 | 112 | 112 |
| Tooth Extraction | $0.00 | 40 | 13 |
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