Based on public Medicaid payment data.
Jordan A Perriman
Medicaid Provider in Gladstone, MO
Type
Individual Provider
Address
2109 Ne 72Nd St Ste 101
Gladstone, MO 641187903
Phone
8164523420
NPI
1255992889
Procedures
3
Total Claims
811
Patients Served
768
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 | $40.40 | 694 | 675 |
| Dental Filling | $113.22 | 88 | 67 |
| Tooth Extraction | $104.74 | 29 | 26 |
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