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Based on public Medicaid payment data.

Matthew James Coon

Medicaid Provider in Central City, NE

Type

Individual Provider

Address

1617 17Th Ave

Central City, NE 688261711

Phone

3089463841

NPI

1962735035

Procedures

3

Total Claims

1.5K

Patients Served

1.4K

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 $23.96 1,339 1,330
Tooth Extraction $59.93 149 63
Dental Filling $73.50 16 13

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