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Based on public Medicaid payment data.

Kyle Sullivan

Medicaid Provider in Walla Walla, WA

Type

Individual Provider

Address

121 W Poplar St

Walla Walla, WA 993622871

Phone

5095253522

NPI

1962558106

Procedures

2

Total Claims

321

Patients Served

261

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 $17.33 303 249
Tooth Extraction $30.49 18 12

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