Based on public Medicaid payment data.
Jason Grant
Medicaid Provider in Fairbury, NE
Type
Individual Provider
Address
416 4Th St
Fairbury, NE 683522514
Phone
4027296177
NPI
1306283304
Procedures
1
Total Claims
13
Patients Served
12
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 | $22.39 | 13 | 12 |
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