Based on public Medicaid payment data.
Harrison Black
Medicaid Provider in Wichita, KS
Type
Individual Provider
Address
3305 E Douglas Ave Ste 101
Wichita, KS 672181037
Phone
3162234455
NPI
1750780052
Procedures
4
Total Claims
24.1K
Patients Served
20.7K
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 | $29.31 | 19,328 | 18,496 |
| Dental Filling | $78.08 | 3,554 | 1,632 |
| Tooth Extraction | $85.01 | 1,185 | 568 |
| Root Canal | $58.63 | 21 | 13 |
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