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Based on public Medicaid payment data.

Thomas Ray Cooney

Medicaid Provider in Indianola, IA

Type

Individual Provider

Address

215 N Buxton St

Indianola, IA 501252430

Phone

5159615351

NPI

1710958863

Procedures

3

Total Claims

2.9K

Patients Served

2.6K

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 $24.26 2,501 2,422
Tooth Extraction $48.37 316 161
Dental Filling $51.16 101 61

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