Based on public Medicaid payment data.
Kimberly Thomas
Medicaid Provider in Philadelphia, PA
Type
Individual Provider
Address
6404 Roosevelt Blvd
Philadelphia, PA 191492943
Phone
2157433700
NPI
1285628040
Procedures
3
Total Claims
17.5K
Patients Served
16.6K
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 | $32.87 | 15,213 | 14,895 |
| Dental Filling | $74.72 | 1,666 | 1,317 |
| Tooth Extraction | $85.99 | 601 | 416 |
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