Based on public Medicaid payment data.
Rachael Anne Revell
Medicaid Provider in West Des Moines, IA
Type
Individual Provider
Address
5950 Village View Dr
West Des Moines, IA 502663844
Phone
6415210625
NPI
1154557197
Procedures
5
Total Claims
49.9K
Patients Served
43.3K
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 | $25.21 | 40,100 | 38,895 |
| Root Canal | $57.84 | 5,293 | 1,754 |
| Tooth Extraction | $52.52 | 2,831 | 1,495 |
| Dental Filling | $59.69 | 1,333 | 826 |
| Prescription Medications | $0.97 | 296 | 286 |
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