Based on public Medicaid payment data.
Mark W Kelso
Medicaid Provider in Nome, AK
Type
Individual Provider
Address
306 W 5Th Ave
Nome, AK 997620966
Phone
9074433311
NPI
1205918729
Procedures
3
Total Claims
13.1K
Patients Served
10.8K
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 | $465.64 | 8,467 | 8,030 |
| Tooth Extraction | $46.13 | 2,541 | 1,298 |
| Dental Filling | $98.88 | 2,079 | 1,453 |
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