Based on public Medicaid payment data.
Paul Ivan Hathorn
Medicaid Provider in Ellisville, MS
Type
Individual Provider
Address
1101 Highway 11 S
Ellisville, MS 394374443
Phone
6014775792
NPI
1225130040
Procedures
1
Total Claims
122
Patients Served
107
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 | 122 | 107 |
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