Based on public Medicaid payment data.
Devin Brant Shone
Medicaid Provider in Bloomington, IN
Type
Individual Provider
Address
477 S Landmark Ave
Bloomington, IN 474035005
Phone
8123550855
NPI
1740628619
Procedures
3
Total Claims
1.8K
Patients Served
1.6K
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 | $35.39 | 1,409 | 1,347 |
| Dental Filling | $79.20 | 331 | 213 |
| Tooth Extraction | $125.30 | 56 | 38 |
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