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Based on public Medicaid payment data.

John Boone Roberson

Medicaid Provider in Hattiesburg, MS

Type

Individual Provider

Address

811 South 28Th Avenue

Hattiesburg, MS 39402

Phone

6012612611

NPI

1871607812

Procedures

2

Total Claims

1.3K

Patients Served

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 $35.38 1,085 950
Tooth Extraction $173.50 216 77

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