Based on public Medicaid payment data.
Richard R Lines
Medicaid Provider in Grampian, PA
Type
Individual Provider
Address
62 Main Street Box 254
Grampian, PA 16838
Phone
8142363390
NPI
1508919036
Procedures
2
Total Claims
418
Patients Served
305
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 | $23.67 | 257 | 257 |
| Tooth Extraction | $48.86 | 161 | 48 |
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