Based on public Medicaid payment data.
David F Mendoza
Medicaid Provider in Wichita, KS
Type
Individual Provider
Address
3124 S Seneca St
Wichita, KS 672173244
Phone
3165226791
NPI
1548280308
Procedures
3
Total Claims
2.9K
Patients Served
2.5K
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 | $64.21 | 2,433 | 2,323 |
| Tooth Extraction | $89.72 | 356 | 163 |
| Dental Filling | $68.31 | 85 | 54 |
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