Based on public Medicaid payment data.
Kerry Moon
Medicaid Provider in North Little Rock, AR
Type
Individual Provider
Address
520 W Pershing Blvd
North Little Rock, AR 721142148
Phone
5017532800
NPI
1588274757
Procedures
3
Total Claims
1.8K
Patients Served
1.3K
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 | $31.04 | 1,220 | 1,105 |
| Tooth Extraction | $68.21 | 531 | 185 |
| Dental Filling | $51.13 | 20 | 14 |
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