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Based on public Medicaid payment data.

Brian Roy Smith

Medicaid Provider in Shreveport, LA

Type

Individual Provider

Address

2125 E Bert Kouns Industrial Loop

Shreveport, LA 711055314

Phone

3187975812

NPI

1639191182

Procedures

2

Total Claims

696

Patients Served

527

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 $14.89 404 404
Tooth Extraction $190.80 292 123

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