Based on public Medicaid payment data.
Edmond Morris Kotary
Medicaid Provider in State College, PA
Type
Individual Provider
Address
2014 Sandy Dr
State College, PA 168032515
Phone
8142382431
NPI
1174797997
Procedures
2
Total Claims
535
Patients Served
306
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 | $28.61 | 304 | 250 |
| Tooth Extraction | $99.11 | 231 | 56 |
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