Based on public Medicaid payment data.
Gwendolyn F Moore
Medicaid Provider in Cleveland, MS
Type
Individual Provider
Address
4233 Highway 8 East
Cleveland, MS 38732
Phone
6628436356
NPI
1952574964
Procedures
2
Total Claims
80
Patients Served
79
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 | $34.82 | 65 | 65 |
| Dental Filling | $130.08 | 15 | 14 |
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