Based on public Medicaid payment data.
Khlea Sumani
Medicaid Provider in New Philadelphia, OH
Type
Individual Provider
Address
341 Graff Rd Se
New Philadelphia, OH 446633889
Phone
3304073264
NPI
1063807147
Procedures
2
Total Claims
477
Patients Served
406
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 | $41.21 | 405 | 380 |
| Dental Filling | $103.19 | 72 | 26 |
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