Based on public Medicaid payment data.
Clint Dawson Koen
Medicaid Provider in Conway, AR
Type
Individual Provider
Address
2700 Allyson Ln
Conway, AR 720346281
Phone
5017300375
NPI
1629143789
Procedures
4
Total Claims
40.5K
Patients Served
38.6K
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 | $32.04 | 39,547 | 37,951 |
| Dental Filling | $68.58 | 697 | 448 |
| Tooth Extraction | $70.12 | 260 | 162 |
| Root Canal | $85.86 | 17 | 13 |
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