Based on public Medicaid payment data.
David Wischoff
Medicaid Provider in Shreveport, LA
Type
Individual Provider
Address
910 Bert Kouns Industrial Loop
Shreveport, LA 711183410
Phone
3186867470
NPI
1255782108
Procedures
2
Total Claims
101
Patients Served
95
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 | $40.91 | 79 | 79 |
| Dental Filling | $110.32 | 22 | 16 |
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