Based on public Medicaid payment data.
Thomas Kieu
Medicaid Provider in Wichita, KS
Type
Individual Provider
Address
5315 E 21St St N
Wichita, KS 672081600
Phone
3167686408
NPI
1770216244
Procedures
3
Total Claims
3.9K
Patients Served
3.1K
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 | $30.22 | 2,505 | 2,380 |
| Dental Filling | $75.51 | 1,405 | 692 |
| Dental Crown | $294.55 | 22 | 13 |
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