Based on public Medicaid payment data.
Jonathan Austin Bowman
Medicaid Provider in Indian Trail, NC
Type
Individual Provider
Address
4514 Old Monroe Rd Ste C
Indian Trail, NC 280795308
Phone
7043134000
NPI
1801534904
Procedures
3
Total Claims
13.5K
Patients Served
10.7K
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 | $25.87 | 10,809 | 9,313 |
| Dental Filling | $92.53 | 2,194 | 1,100 |
| Tooth Extraction | $53.90 | 507 | 264 |
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