Based on public Medicaid payment data.
Dasonj O Nixon
Medicaid Provider in Lebanon, PA
Type
Individual Provider
Address
101 S 9Th St
Lebanon, PA 170425108
Phone
7174507015
NPI
1881925550
Procedures
2
Total Claims
851
Patients Served
822
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 | 692 | 691 |
| Dental Filling | $0.00 | 159 | 131 |
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