Based on public Medicaid payment data.
South Delta Dental Clinic, Llc
Medicaid Provider in Rolling Fork, MS
Type
Organization
Address
21 S Fourth St
Rolling Fork, MS 391595146
Phone
6628735170
NPI
1902162811
Procedures
1
Total Claims
434
Patients Served
400
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 | $34.63 | 434 | 400 |
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