Based on public Medicaid payment data.
Olivia Nicole Gannon
Medicaid Provider in Johnson City, TN
Type
Individual Provider
Address
219 Princeton Road
Johnson City, TN 37601
Phone
4239752200
NPI
1033201397
Procedures
4
Total Claims
9.8K
Patients Served
8.9K
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 | $32.41 | 7,351 | 7,256 |
| Dental Filling | $81.87 | 2,199 | 1,499 |
| Dental Crown | $531.98 | 241 | 159 |
| Root Canal | $661.15 | 15 | 12 |
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