Based on public Medicaid payment data.
Freida Carole Grimes-Moore
Medicaid Provider in Saint Louis, MO
Type
Individual Provider
Address
614 S Florissant Rd
Saint Louis, MO 631352948
Phone
9018641990
NPI
1114012200
Procedures
3
Total Claims
9.2K
Patients Served
9K
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 | $37.28 | 8,642 | 8,629 |
| Dental Filling | $76.97 | 408 | 274 |
| Tooth Extraction | $99.45 | 124 | 70 |
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