Based on public Medicaid payment data.
Shannon M. Backofen
Medicaid Provider in Shreveport, LA
Type
Individual Provider
Address
318 Carroll St
Shreveport, LA 711054132
Phone
3188652250
NPI
1306075718
Procedures
4
Total Claims
14.8K
Patients Served
14K
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 | $33.39 | 12,615 | 12,452 |
| Dental Filling | $78.40 | 1,298 | 981 |
| Tooth Extraction | $67.40 | 811 | 491 |
| Root Canal | $78.36 | 50 | 38 |
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