Based on public Medicaid payment data.
Samantha Rose
Medicaid Provider in Knoxville, TN
Type
Individual Provider
Address
10910 Kingston Pike Unit 105
Knoxville, TN 379342948
Phone
8652189177
NPI
1790470862
Procedures
3
Total Claims
14.8K
Patients Served
13.6K
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 | $28.45 | 13,189 | 12,564 |
| Dental Filling | $67.65 | 1,223 | 824 |
| Tooth Extraction | $57.75 | 433 | 261 |
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