Based on public Medicaid payment data.
William Michael Gordon
Medicaid Provider in Coventry, RI
Type
Individual Provider
Address
840 Tiogue Ave
Coventry, RI 02816
Phone
4018281171
NPI
1730152182
Procedures
3
Total Claims
867
Patients Served
815
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 | $34.47 | 706 | 705 |
| Dental Filling | $81.26 | 89 | 74 |
| Tooth Extraction | $83.72 | 72 | 36 |
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