Based on public Medicaid payment data.
Larry Wilson Thomas
Medicaid Provider in Creve Coeur, MO
Type
Individual Provider
Address
11709 Old Ballas Rd
Creve Coeur, MO 631417029
Phone
3148728590
NPI
1033226543
Procedures
3
Total Claims
5K
Patients Served
4.8K
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 | $32.64 | 4,684 | 4,657 |
| Dental Filling | $98.90 | 279 | 153 |
| Tooth Extraction | $82.00 | 46 | 25 |
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