Based on public Medicaid payment data.
Samantha Jean Sutton
Medicaid Provider in Mound City, MO
Type
Individual Provider
Address
1303 State St
Mound City, MO 644701717
Phone
6604425464
NPI
1548469398
Procedures
2
Total Claims
865
Patients Served
840
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 | $46.18 | 838 | 826 |
| Tooth Extraction | $142.50 | 27 | 14 |
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