Based on public Medicaid payment data.
Nicole Dominique Grant
Medicaid Provider in Longview, WA
Type
Individual Provider
Address
1461 Broadway St Apt A
Longview, WA 986323724
Phone
8554336825
NPI
1497197941
Procedures
1
Total Claims
340
Patients Served
337
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 | 340 | 337 |
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