Based on public Medicaid payment data.
Olivia Mcdaniel Van Gordon
Medicaid Provider in Grenada, MS
Type
Individual Provider
Address
1800 F S Hill Dr Ste A
Grenada, MS 389015071
Phone
6622261757
NPI
1598285538
Procedures
3
Total Claims
3.6K
Patients Served
3.1K
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 | $26.18 | 3,515 | 3,045 |
| Tooth Extraction | $80.14 | 62 | 37 |
| Dental Filling | $80.91 | 50 | 29 |
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