Based on public Medicaid payment data.
Garrett William Tom
Medicaid Provider in Clarksville, MD
Type
Individual Provider
Address
6100 Daylong Ln Ste 204
Clarksville, MD 210291655
Phone
6672005912
NPI
1710662218
Procedures
3
Total Claims
610
Patients Served
559
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 | $53.77 | 532 | 531 |
| Tooth Extraction | $135.23 | 61 | 16 |
| Dental Filling | $107.33 | 17 | 12 |
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