Based on public Medicaid payment data.
Kelsey Gardner Laporte
Medicaid Provider in Maryville, TN
Type
Individual Provider
Address
205 Southdowne Dr
Maryville, TN 378013747
Phone
8653818867
NPI
1457791253
Procedures
2
Total Claims
682
Patients Served
426
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 | $170.13 | 392 | 136 |
| Dental Cleaning & Exam | $22.03 | 290 | 290 |
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