Based on public Medicaid payment data.
Raven Shanice Moore
Medicaid Provider in Smyrna, TN
Type
Individual Provider
Address
574 W Sam Ridley Pkwy
Smyrna, TN 371675621
Phone
6154881151
NPI
1467140574
Procedures
1
Total Claims
35
Patients Served
34
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 | $34.04 | 35 | 34 |
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