Based on public Medicaid payment data.
Paul Dwayne Gross
Medicaid Provider in Lenoir City, TN
Type
Individual Provider
Address
603 Highway 321 N Unit 20 Bldg 4
Lenoir City, TN 377716575
Phone
8659864582
NPI
1417954629
Procedures
2
Total Claims
150
Patients Served
88
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 |
|---|---|---|---|
| Tooth Extraction | $176.24 | 87 | 25 |
| Dental Cleaning & Exam | $28.59 | 63 | 63 |
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