Based on public Medicaid payment data.
Olivia Sacopulos
Medicaid Provider in Portage, IN
Type
Individual Provider
Address
6210 Us Highway 6
Portage, IN 463685057
Phone
2197062213
NPI
1245914555
Procedures
3
Total Claims
1.3K
Patients Served
1.1K
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 | $29.36 | 983 | 980 |
| Dental Filling | $121.47 | 202 | 140 |
| Tooth Extraction | $125.07 | 91 | 21 |
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