Based on public Medicaid payment data.
Richard C Vandiver
Medicaid Provider in Shreveport, LA
Type
Individual Provider
Address
1625 David Raines Rd
Shreveport, LA 711075899
Phone
3188416048
NPI
1932243094
Procedures
3
Total Claims
6.8K
Patients Served
4.4K
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 | $2.85 | 4,600 | 3,442 |
| Tooth Extraction | $6.31 | 2,136 | 912 |
| Dental Filling | $0.00 | 51 | 26 |
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