Based on public Medicaid payment data.
Kathryn Derivaux Smith
Medicaid Provider in Horn Lake, MS
Type
Individual Provider
Address
2154 Goodman Rd W
Horn Lake, MS 386371303
Phone
6623939200
NPI
1962885483
Procedures
3
Total Claims
12.4K
Patients Served
11.7K
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 | $28.06 | 10,782 | 10,378 |
| Dental Filling | $66.33 | 1,411 | 1,129 |
| Tooth Extraction | $59.94 | 199 | 160 |
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