Based on public Medicaid payment data.
Deborah S Wallace
Medicaid Provider in Dover, TN
Type
Individual Provider
Address
445 Highway 79
Dover, TN 370586941
Phone
9312328287
NPI
1124195359
Procedures
1
Total Claims
367
Patients Served
362
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 | $30.50 | 367 | 362 |
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