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Based on public Medicaid payment data.

Nicole Sanders Donaldson

Medicaid Provider in Little Rock, AR

Type

Individual Provider

Address

12501 Cantrell Rd

Little Rock, AR 722231639

Phone

5012233838

NPI

1154015808

Procedures

2

Total Claims

745

Patients Served

664

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 $30.81 669 623
Dental Filling $74.02 76 41

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