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Based on public Medicaid payment data.

Stas Vidyakin

Medicaid Provider in Sikeston, MO

Type

Individual Provider

Address

220 Southland Dr

Sikeston, MO 638014403

Phone

5734714167

NPI

1285292193

Procedures

2

Total Claims

2.3K

Patients Served

1.4K

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 $46.03 1,163 1,082
Tooth Extraction $111.41 1,093 306

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