Based on public Medicaid payment data.
Andrew Michael Larson
Medicaid Provider in Scott Afb, IL
Type
Individual Provider
Address
310 W Losey St
Scott Afb, IL 622255250
Phone
6182566667
NPI
1356533905
Procedures
1
Total Claims
38
Patients Served
38
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 | $40.64 | 38 | 38 |
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