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Based on public Medicaid payment data.

Tyson Gary Bross

Medicaid Provider in Annapolis, MD

Type

Individual Provider

Address

129 Lubrano Dr

Annapolis, MD 214017564

Phone

4102240018

NPI

1114195112

Procedures

3

Total Claims

18.7K

Patients Served

17.5K

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 $37.45 16,304 16,075
Dental Filling $113.69 2,212 1,347
Tooth Extraction $103.82 193 108

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