Based on public Medicaid payment data.
Israa Golam
Medicaid Provider in Olivette, MO
Type
Individual Provider
Address
9378 Olive Blvd
Olivette, MO 631323215
Phone
3148723930
NPI
1588004246
Procedures
3
Total Claims
19.7K
Patients Served
18.8K
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 | $33.27 | 17,553 | 17,048 |
| Dental Filling | $65.90 | 2,098 | 1,670 |
| Tooth Extraction | $44.01 | 72 | 54 |
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