Based on public Medicaid payment data.
Jordan Ashley Gray
Medicaid Provider in Rutland, VT
Type
Individual Provider
Address
69 Allen St Ste 10
Rutland, VT 057014564
Phone
8028555468
NPI
1548613086
Procedures
3
Total Claims
20.8K
Patients Served
19.1K
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 | $44.43 | 16,979 | 16,411 |
| Dental Filling | $131.06 | 3,516 | 2,454 |
| Tooth Extraction | $108.03 | 284 | 209 |
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