Based on public Medicaid payment data.
Deepasulochana Sivasankaraganesan
Medicaid Provider in Shreveport, LA
Type
Individual Provider
Address
3719 Jewella Ave
Shreveport, LA 71109
Phone
3185503362
NPI
1326418518
Procedures
4
Total Claims
81.3K
Patients Served
69.4K
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 | $35.94 | 58,917 | 55,493 |
| Dental Filling | $88.50 | 17,203 | 10,507 |
| Tooth Extraction | $69.32 | 3,823 | 2,421 |
| Root Canal | $95.91 | 1,379 | 970 |
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