Based on public Medicaid payment data.
Jennifer M Peterman
Medicaid Provider in Wichita, KS
Type
Individual Provider
Address
1901 W 21St St N
Wichita, KS 672032106
Phone
3168322838
NPI
1962569277
Procedures
4
Total Claims
65.6K
Patients Served
55.4K
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 | $28.48 | 49,470 | 47,243 |
| Dental Filling | $70.18 | 10,325 | 5,708 |
| Tooth Extraction | $78.11 | 2,987 | 1,423 |
| Root Canal | $55.80 | 2,814 | 1,034 |
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