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Based on public Medicaid payment data.

Frank De Latour

Medicaid Provider in Fort Gordon, GA

Type

Individual Provider

Address

300 East Hosptial Drive

Fort Gordon, GA 30905

Phone

7067875322

NPI

1497164081

Procedures

1

Total Claims

440

Patients Served

244

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
Tooth Extraction $141.81 440 244

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