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Based on public Medicaid payment data.

Ellisville Family Dental Center Pa

Medicaid Provider in Ellisville, MS

Type

Organization

Address

401 Highway 11 S

Ellisville, MS 394373103

Phone

6014773771

NPI

1033269840

Procedures

2

Total Claims

1.5K

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 $28.95 1,524 1,444
Dental Filling $99.93 20 12

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