Based on public Medicaid payment data.
Coastal Pediatric Dentistry, Llc
Medicaid Provider in Gulfport, MS
Type
Organization
Address
1119 42Nd Ave
Gulfport, MS 395012664
Phone
2288648521
NPI
1184167553
Procedures
3
Total Claims
2.8K
Patients Served
2.3K
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 | $27.96 | 1,914 | 1,704 |
| Dental Filling | $109.23 | 847 | 539 |
| Tooth Extraction | $78.66 | 82 | 44 |
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