Based on public Medicaid payment data.
Jerome H Plastow
Medicaid Provider in Dushore, PA
Type
Individual Provider
Address
232 S. German Street
Dushore, PA 186140394
Phone
5709288618
NPI
1841221496
Procedures
3
Total Claims
2.3K
Patients Served
1.5K
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 | $60.92 | 1,072 | 958 |
| Tooth Extraction | $77.61 | 856 | 241 |
| Dental Filling | $70.81 | 339 | 254 |
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