Based on public Medicaid payment data.
Edward William Lake
Medicaid Provider in Potosi, MO
Type
Individual Provider
Address
313 E High St
Potosi, MO 636641924
Phone
5734386277
NPI
1790820587
Procedures
3
Total Claims
3.4K
Patients Served
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 | $34.94 | 1,720 | 1,662 |
| Office Visit | $22.35 | 1,607 | 1,292 |
| Tooth Extraction | $49.44 | 34 | 12 |
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