Based on public Medicaid payment data.
Justin Ryan Ellis
Medicaid Provider in Livingston, TN
Type
Individual Provider
Address
215 Oak St
Livingston, TN 385701726
Phone
9318235517
NPI
1588192868
Procedures
3
Total Claims
1.6K
Patients Served
1.2K
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 Filling | $59.59 | 1,126 | 870 |
| Dental Cleaning & Exam | $21.79 | 262 | 242 |
| Tooth Extraction | $44.66 | 182 | 112 |
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