Based on public Medicaid payment data.
Stephanie D Joly
Medicaid Provider in Portage, IN
Type
Individual Provider
Address
2646 Lois St
Portage, IN 463683500
Phone
2197624266
NPI
1760630610
Procedures
4
Total Claims
7.1K
Patients Served
6.4K
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 | $39.23 | 5,348 | 5,284 |
| Dental Filling | $74.04 | 867 | 604 |
| Tooth Extraction | $103.88 | 528 | 307 |
| Root Canal | $110.62 | 332 | 205 |
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