Based on public Medicaid payment data.
Grace Thomas
Medicaid Provider in South Portland, ME
Type
Individual Provider
Address
171 Maine Mall Rd
South Portland, ME 041062310
Phone
2077751551
NPI
1588876908
Procedures
2
Total Claims
452
Patients Served
401
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 | $12.90 | 242 | 242 |
| Tooth Extraction | $136.40 | 210 | 159 |
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