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Based on public Medicaid payment data.

Benjamin Montegut Ory

Medicaid Provider in Mandeville, LA

Type

Individual Provider

Address

812 Park Ave

Mandeville, LA 704484949

Phone

9856269791

NPI

1699841072

Procedures

2

Total Claims

425

Patients Served

302

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 $30.66 397 289
Tooth Extraction $40.73 28 13

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