Based on public Medicaid payment data.
Daniel D Kieu
Medicaid Provider in Wichita, KS
Type
Individual Provider
Address
4100 E Central Ave
Wichita, KS 672083820
Phone
3166120270
NPI
1124094214
Procedures
5
Total Claims
14.2K
Patients Served
10.3K
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 | $28.54 | 8,802 | 8,251 |
| Dental Filling | $73.22 | 4,994 | 1,866 |
| Tooth Extraction | $84.32 | 255 | 116 |
| Root Canal | $190.08 | 53 | 33 |
| Dental Crown | $450.00 | 47 | 29 |
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