Based on public Medicaid payment data.
Ken Goodwin, Dmd, Pa
Medicaid Provider in Booneville, MS
Type
Organization
Address
403 N Third St
Booneville, MS 388291609
Phone
6627288171
NPI
1548673320
Procedures
2
Total Claims
705
Patients Served
652
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 | $28.19 | 663 | 627 |
| Dental Filling | $115.30 | 42 | 25 |
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