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Based on public Medicaid payment data.

Shayna L Mattox

Medicaid Provider in Gretna, NE

Type

Individual Provider

Address

10520 S 204Th St Ste C

Gretna, NE 680284185

Phone

4024036007

NPI

1811334857

Procedures

4

Total Claims

12.3K

Patients Served

11.6K

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 $29.17 10,563 10,520
Dental Filling $89.70 1,303 866
Tooth Extraction $73.42 314 151
Root Canal $73.32 82 55

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