Based on public Medicaid payment data.
Sidney Darryl Lenox
Medicaid Provider in Wichita, KS
Type
Individual Provider
Address
2707 E 21St St N
Wichita, KS 67214
Phone
3166910249
NPI
1992031314
Procedures
2
Total Claims
408
Patients Served
308
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 | $55.33 | 317 | 279 |
| Tooth Extraction | $56.81 | 91 | 29 |
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