Based on public Medicaid payment data.
Claire Christine Koukol
Medicaid Provider in Omaha, NE
Type
Individual Provider
Address
8200 Dodge St
Omaha, NE 681144113
Phone
4027405385
NPI
1699296707
Procedures
4
Total Claims
23.5K
Patients Served
20K
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 | $26.94 | 18,343 | 17,907 |
| Tooth Extraction | $70.38 | 3,920 | 1,276 |
| Dental Filling | $72.06 | 1,274 | 773 |
| Prescription Medications | $0.00 | 12 | 12 |
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