Based on public Medicaid payment data.
Keith Ace Usry
Medicaid Provider in Hampton, TN
Type
Individual Provider
Address
435 Highway 321
Hampton, TN 376583323
Phone
4238967229
NPI
1033883533
Procedures
2
Total Claims
367
Patients Served
116
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 |
|---|---|---|---|
| Tooth Extraction | $67.50 | 331 | 80 |
| Dental Cleaning & Exam | $35.10 | 36 | 36 |
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