Based on public Medicaid payment data.
Dwight Johnson
Medicaid Provider in Grandview, MO
Type
Individual Provider
Address
12200 15Th St Ste 106
Grandview, MO 640301772
Phone
8163988046
NPI
1912487505
Procedures
3
Total Claims
2K
Patients Served
1.5K
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 | $32.56 | 1,314 | 1,221 |
| Dental Filling | $67.15 | 483 | 215 |
| Tooth Extraction | $72.60 | 183 | 72 |
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