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Based on public Medicaid payment data.

Country Club Dental Pa

Medicaid Provider in Topeka, KS

Type

Organization

Address

400 Sw 29Th St

Topeka, KS 666111164

Phone

7857835981

NPI

1699137109

Procedures

1

Total Claims

112

Patients Served

108

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 $23.54 112 108

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