Based on public Medicaid payment data.
Evon Elizabeth Hulse
Medicaid Provider in Kingston, TN
Type
Individual Provider
Address
1212 N Kentucky St
Kingston, TN 377632328
Phone
8657173586
NPI
1356330229
Procedures
4
Total Claims
8.1K
Patients Served
6.8K
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 | $32.07 | 5,077 | 5,050 |
| Dental Filling | $70.85 | 2,190 | 1,214 |
| Tooth Extraction | $62.20 | 441 | 195 |
| Prescription Medications | $0.01 | 391 | 315 |
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