Based on public Medicaid payment data.
Brien R. Polk
Medicaid Provider in Dyersburg, TN
Type
Individual Provider
Address
95 Us Highway 51 Byp W
Dyersburg, TN 380241935
Phone
7312861271
NPI
1902053135
Procedures
5
Total Claims
54.9K
Patients Served
49.7K
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 | $27.21 | 45,424 | 43,917 |
| Dental Filling | $63.13 | 5,325 | 3,706 |
| Tooth Extraction | $69.05 | 3,295 | 1,551 |
| Dental Crown | $481.95 | 580 | 362 |
| Root Canal | $141.56 | 255 | 157 |
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