Based on public Medicaid payment data.
William Christian Bertram Desonne
Medicaid Provider in Deptford, NJ
Type
Individual Provider
Address
1692 Clements Bridge Rd
Deptford, NJ 080963028
Phone
8568456198
NPI
1386175149
Procedures
4
Total Claims
10K
Patients Served
7.8K
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 | $34.34 | 6,201 | 6,077 |
| Dental Filling | $67.98 | 2,641 | 1,190 |
| Tooth Extraction | $54.23 | 814 | 370 |
| Root Canal | $56.16 | 327 | 169 |
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