Based on public Medicaid payment data.
Ethan Embrey Moore
Medicaid Provider in Columbia, MS
Type
Individual Provider
Address
430 Broad St
Columbia, MS 394293006
Phone
6017367125
NPI
1710555115
Procedures
1
Total Claims
458
Patients Served
442
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 | $32.54 | 458 | 442 |
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