Based on public Medicaid payment data.
Kevin Lee Theiss
Medicaid Provider in Saint Louis, MO
Type
Individual Provider
Address
4646 Lindell Blvd
Saint Louis, MO 631083726
Phone
3143611818
NPI
1144604919
Procedures
4
Total Claims
3.6K
Patients Served
2.8K
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 | $25.74 | 2,338 | 2,117 |
| Tooth Extraction | $52.05 | 675 | 244 |
| Dental Filling | $59.21 | 560 | 386 |
| Dental Crown | $269.04 | 60 | 37 |
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