Based on public Medicaid payment data.
Wichita Oral Surgery Llc
Medicaid Provider in Wichita, KS
Type
Organization
Address
12611 E 21St St N
Wichita, KS 672063594
Phone
3167421506
NPI
1164914982
Procedures
2
Total Claims
204
Patients Served
129
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 |
|---|---|---|---|
| Tooth Extraction | $173.05 | 103 | 30 |
| Dental Cleaning & Exam | $32.67 | 101 | 99 |
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