Based on public Medicaid payment data.
Brenden Khounlo
Medicaid Provider in Storm Lake, IA
Type
Individual Provider
Address
715 W Milwaukee Ave
Storm Lake, IA 505881564
Phone
7122130109
NPI
1780253146
Procedures
3
Total Claims
7.9K
Patients Served
7.4K
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 | $4.41 | 6,205 | 6,168 |
| Dental Filling | $9.14 | 1,559 | 1,169 |
| Tooth Extraction | $9.74 | 91 | 64 |
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