Based on public Medicaid payment data.
Peter M Gray
Medicaid Provider in Independence, MO
Type
Individual Provider
Address
1520 E 23Rd St S
Independence, MO 640551657
Phone
8162529190
NPI
1861494585
Procedures
1
Total Claims
12
Patients Served
12
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 | $26.50 | 12 | 12 |
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