Based on public Medicaid payment data.
Andrew R Banker
Medicaid Provider in Bossier City, LA
Type
Individual Provider
Address
2250 Hospital Dr
Bossier City, LA 711112167
Phone
3187475812
NPI
1336359744
Procedures
2
Total Claims
384
Patients Served
352
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 | $14.68 | 327 | 327 |
| Tooth Extraction | $159.14 | 57 | 25 |
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