Based on public Medicaid payment data.
Jessica Wiedey Tomberlin
Medicaid Provider in Hickory, NC
Type
Individual Provider
Address
1781 Tate Blvd Se
Hickory, NC 286024251
Phone
8288553779
NPI
1760742472
Procedures
3
Total Claims
24.8K
Patients Served
23.9K
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 | $28.96 | 21,777 | 21,434 |
| Dental Filling | $97.18 | 3,013 | 2,465 |
| Tooth Extraction | $66.27 | 34 | 25 |
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