Based on public Medicaid payment data.
Derek Deshan Mason
Medicaid Provider in Hiram, GA
Type
Individual Provider
Address
126 Enterprise Path
Hiram, GA 301412656
Phone
7704392550
NPI
1679566475
Procedures
4
Total Claims
10.3K
Patients Served
9.6K
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 | $22.89 | 7,858 | 7,835 |
| Dental Filling | $68.29 | 1,622 | 1,205 |
| Tooth Extraction | $63.50 | 765 | 450 |
| Root Canal | $87.23 | 85 | 64 |
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