Based on public Medicaid payment data.
Jeena Priya Krishna
Medicaid Provider in Sullivan, MO
Type
Individual Provider
Address
101 Progress Pkwy
Sullivan, MO 630802359
Phone
8448538937
NPI
1285085175
Procedures
3
Total Claims
1.2K
Patients Served
1K
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 | $60.71 | 935 | 869 |
| Dental Filling | $30.48 | 124 | 101 |
| Tooth Extraction | $71.94 | 94 | 31 |
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