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Based on public Medicaid payment data.

Antoine Gerard Johnson

Medicaid Provider in Columbia, MD

Type

Individual Provider

Address

8860 Columbia 100 Pkwy Ste 308

Columbia, MD 210452298

Phone

4104656800

NPI

1679730709

Procedures

1

Total Claims

226

Patients Served

68

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
Tooth Extraction $279.09 226 68

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