Based on public Medicaid payment data.
Stanley Drew Moss
Medicaid Provider in Portsmouth, VA
Type
Individual Provider
Address
6224 Portsmouth Blvd
Portsmouth, VA 237011345
Phone
7574888884
NPI
1831211671
Procedures
3
Total Claims
6.5K
Patients Served
6.2K
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 | $28.09 | 5,814 | 5,694 |
| Dental Filling | $79.20 | 689 | 451 |
| Tooth Extraction | $69.00 | 19 | 12 |
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