Based on public Medicaid payment data.
Manijeh Felfeli
Medicaid Provider in Saint Louis, MO
Type
Individual Provider
Address
6155 S Grand Blvd
Saint Louis, MO 631112319
Phone
6362241760
NPI
1780373712
Procedures
3
Total Claims
276
Patients Served
212
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 | $127.60 | 201 | 170 |
| Tooth Extraction | $158.56 | 54 | 29 |
| Dental Filling | $345.76 | 21 | 13 |
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