Based on public Medicaid payment data.
Keisi Ikonomi
Medicaid Provider in North Providence, RI
Type
Individual Provider
Address
2148 Mineral Spring Ave
North Providence, RI 029111722
Phone
4016226080
NPI
1164103339
Procedures
1
Total Claims
24
Patients Served
24
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 | $29.83 | 24 | 24 |
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