Based on public Medicaid payment data.
Drew Samuel Ellenwood
Medicaid Provider in Fort Smith, AR
Type
Individual Provider
Address
520 S 14Th St
Fort Smith, AR 729014608
Phone
4797823005
NPI
1407878697
Procedures
1
Total Claims
110
Patients Served
110
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 | $28.58 | 110 | 110 |
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