Based on public Medicaid payment data.
Cecilia A Moy
Medicaid Provider in Grove City, OH
Type
Individual Provider
Address
4072 Gantz Rd
Grove City, OH 431234816
Phone
6148713700
NPI
1457447096
Procedures
3
Total Claims
21.1K
Patients Served
20.1K
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 | $26.95 | 18,584 | 18,426 |
| Dental Filling | $55.32 | 2,262 | 1,494 |
| Tooth Extraction | $92.30 | 230 | 170 |
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