Based on public Medicaid payment data.
Katarina Kouri
Medicaid Provider in Omaha, NE
Type
Individual Provider
Address
3932 S 24Th St
Omaha, NE 681071849
Phone
4027333932
NPI
1992448328
Procedures
3
Total Claims
5K
Patients Served
4.2K
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 | $54.96 | 3,359 | 3,336 |
| Dental Filling | $147.62 | 990 | 694 |
| Tooth Extraction | $146.00 | 617 | 178 |
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