Based on public Medicaid payment data.
Clayton Edward Davis
Medicaid Provider in Kingsport, TN
Type
Individual Provider
Address
613 Watauga St
Kingsport, TN 376604429
Phone
4232477741
NPI
1699828301
Procedures
5
Total Claims
110.8K
Patients Served
105.3K
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 | $30.22 | 98,408 | 96,515 |
| Dental Filling | $67.97 | 9,282 | 6,678 |
| Tooth Extraction | $60.84 | 2,804 | 1,874 |
| Dental Crown | $461.60 | 260 | 172 |
| Root Canal | $421.89 | 86 | 69 |
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