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Based on public Medicaid payment data.

Ana Kodra

Medicaid Provider in Philadelphia, PA

Type

Individual Provider

Address

2101 Chestnut St Unit 1717

Philadelphia, PA 191033140

Phone

7187515227

NPI

1144884032

Procedures

1

Total Claims

12

Patients Served

12

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 $17.32 12 12

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