Based on public Medicaid payment data.
James Ervin Buttermore
Medicaid Provider in South Sioux City, NE
Type
Individual Provider
Address
305 W 39Th St
South Sioux City, NE 687763737
Phone
4024944924
NPI
1073603726
Procedures
2
Total Claims
1.3K
Patients Served
1.3K
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 | $22.36 | 1,304 | 1,243 |
| Tooth Extraction | $47.23 | 26 | 14 |
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