Based on public Medicaid payment data.
Stephen Gray
Medicaid Provider in Philadelphia, PA
Type
Individual Provider
Address
100 E Lehigh Ave
Philadelphia, PA 191251012
Phone
2157071020
NPI
1154702389
Procedures
5
Total Claims
94K
Patients Served
67.1K
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 | $26.68 | 50,041 | 49,129 |
| Dental Filling | $82.38 | 15,990 | 6,851 |
| Root Canal | $91.89 | 15,124 | 5,782 |
| Tooth Extraction | $64.43 | 12,734 | 5,190 |
| Prescription Medications | $0.00 | 123 | 119 |
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