Based on public Medicaid payment data.
Koby Ferguson
Medicaid Provider in Portsmouth, VA
Type
Individual Provider
Address
620 John Paul Jones Cir
Portsmouth, VA 237082111
Phone
7854520731
NPI
1770852022
Procedures
2
Total Claims
313
Patients Served
141
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 | $0.00 | 243 | 72 |
| Dental Cleaning & Exam | $0.00 | 70 | 69 |
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