Based on public Medicaid payment data.
Tabbitha Grantham
Medicaid Provider in Richmond, VA
Type
Individual Provider
Address
1122 N 25Th St
Richmond, VA 232235254
Phone
8046490240
NPI
1649369919
Procedures
1
Total Claims
137
Patients Served
12
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 | $65.70 | 137 | 12 |
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