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Based on public Medicaid payment data.

Kobie Charles Gordon

Medicaid Provider in Revere, MA

Type

Individual Provider

Address

205 Revere Beach Pkwy Unit 630

Revere, MA 021515491

Phone

7036550464

NPI

1316582877

Procedures

2

Total Claims

3.3K

Patients Served

3.2K

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 $41.64 3,214 3,148
Dental Filling $82.49 123 81

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