Based on public Medicaid payment data.
Raushonda Antoinette Smith
Medicaid Provider in Shaker Heights, OH
Type
Individual Provider
Address
3733 Lee Rd
Shaker Heights, OH 441205103
Phone
2165617000
NPI
1164442596
Procedures
3
Total Claims
16K
Patients Served
10.8K
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 | $11.96 | 15,175 | 10,412 |
| Dental Filling | $26.70 | 791 | 398 |
| Tooth Extraction | $27.04 | 32 | 12 |
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