Based on public Medicaid payment data.
Stefanie Gray
Medicaid Provider in Overland Park, KS
Type
Individual Provider
Address
12611 Antioch Rd
Overland Park, KS 662131701
Phone
9136859111
NPI
1700901188
Procedures
4
Total Claims
12.4K
Patients Served
10.4K
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 | $21.30 | 8,118 | 7,977 |
| Dental Filling | $48.99 | 3,112 | 1,850 |
| Tooth Extraction | $40.84 | 682 | 372 |
| Root Canal | $45.29 | 447 | 202 |
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