Based on public Medicaid payment data.
David E Chlysta
Medicaid Provider in Ravenna, OH
Type
Individual Provider
Address
6693 N Chestnut Street
Ravenna, OH 442663922
Phone
3302963975
NPI
1902941594
Procedures
2
Total Claims
417
Patients Served
370
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 | $34.96 | 392 | 358 |
| Dental Filling | $90.81 | 25 | 12 |
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