Based on public Medicaid payment data.
David Simmons
Medicaid Provider in Columbus, OH
Type
Individual Provider
Address
4545 E Main St
Columbus, OH 432133038
Phone
6142311600
NPI
1629362595
Procedures
4
Total Claims
3K
Patients Served
2.9K
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 | $35.54 | 2,838 | 2,815 |
| Dental Crown | $704.30 | 107 | 53 |
| Dental Filling | $114.81 | 42 | 24 |
| Tooth Extraction | $158.91 | 22 | 14 |
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