Based on public Medicaid payment data.
Killian David Maccarthy
Medicaid Provider in South Portland, ME
Type
Individual Provider
Address
20 Long Creek Dr
South Portland, ME 041062425
Phone
2077723027
NPI
1356322531
Procedures
2
Total Claims
57
Patients Served
37
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 |
|---|---|---|---|
| Tooth Extraction | $88.24 | 33 | 13 |
| Dental Cleaning & Exam | $19.17 | 24 | 24 |
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