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Based on public Medicaid payment data.

Tina Sue Lucas Stoner

Medicaid Provider in Canton, MO

Type

Individual Provider

Address

28435 W Arapaho Ave

Canton, MO 634352067

Phone

2176532781

NPI

1487887741

Procedures

3

Total Claims

2.3K

Patients Served

1.8K

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 $4.99 1,904 1,635
Tooth Extraction $20.34 252 118
Dental Filling $11.64 106 74

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