Based on public Medicaid payment data.
Dillon Houston Cutshaw
Medicaid Provider in Bristol, TN
Type
Individual Provider
Address
245 Midway Medical Park
Bristol, TN 376201653
Phone
4236520260
NPI
1760227938
Procedures
2
Total Claims
114
Patients Served
95
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 | $39.20 | 79 | 79 |
| Tooth Extraction | $70.93 | 35 | 16 |
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