Based on public Medicaid payment data.
Tyler Stephen Hawthorne
Medicaid Provider in Lake Providence, LA
Type
Individual Provider
Address
205 N Hood St
Lake Providence, LA 712542103
Phone
3185591034
NPI
1730797341
Procedures
3
Total Claims
1.7K
Patients Served
1.4K
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 | $0.00 | 1,276 | 1,163 |
| Dental Filling | $1.14 | 417 | 221 |
| Tooth Extraction | $0.00 | 50 | 12 |
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