Based on public Medicaid payment data.
Smita Kumar
Medicaid Provider in Racine, WI
Type
Individual Provider
Address
4915 Washington Ave Ste B
Racine, WI 534064221
Phone
2626191949
NPI
1295148997
Procedures
4
Total Claims
10.1K
Patients Served
8.8K
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 | $22.00 | 8,262 | 7,647 |
| Dental Filling | $44.41 | 1,195 | 823 |
| Tooth Extraction | $43.16 | 496 | 303 |
| Root Canal | $73.61 | 121 | 65 |
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