Based on public Medicaid payment data.
Jeffery Johnson
Medicaid Provider in Potosi, MO
Type
Individual Provider
Address
1 Southtowne Dr
Potosi, MO 636645729
Phone
5734388401
NPI
1346698396
Procedures
3
Total Claims
5.6K
Patients Served
4.7K
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 | $41.73 | 4,210 | 4,051 |
| Tooth Extraction | $76.56 | 1,003 | 344 |
| Dental Filling | $137.33 | 369 | 270 |
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