Based on public Medicaid payment data.
Preethy Jacob Kunthara
Medicaid Provider in Mesa, AZ
Type
Individual Provider
Address
1350 S Longmore
Mesa, AZ 852029603
Phone
4808330880
NPI
1326037128
Procedures
2
Total Claims
815
Patients Served
604
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 | $13.89 | 784 | 591 |
| Dental Filling | $37.78 | 31 | 13 |
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