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Based on public Medicaid payment data.

David E Thome

Medicaid Provider in Mooresville, NC

Type

Individual Provider

Address

202 Williamson Rd

Mooresville, NC 281177610

Phone

7043608670

NPI

1811985807

Procedures

5

Total Claims

26.7K

Patients Served

21.7K

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 $27.92 18,532 17,454
Dental Filling $94.23 5,509 2,894
Tooth Extraction $60.85 2,391 1,053
Prescription Medications $14.23 257 241
Root Canal $84.80 27 12

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