Based on public Medicaid payment data.
Lee Bennett Davis
Medicaid Provider in Daleville, IN
Type
Individual Provider
Address
12110 W County Road 550 S
Daleville, IN 473349717
Phone
7653783391
NPI
1275756660
Procedures
2
Total Claims
668
Patients Served
584
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 | $36.82 | 523 | 498 |
| Dental Filling | $86.96 | 145 | 86 |
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