Based on public Medicaid payment data.
Russell Ernest Moore
Medicaid Provider in Johnstown, PA
Type
Individual Provider
Address
111 Industrial Park Rd
Johnstown, PA 159041940
Phone
8142663151
NPI
1578525184
Procedures
1
Total Claims
15
Patients Served
15
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 | $23.00 | 15 | 15 |
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