Based on public Medicaid payment data.
C. Rex Witherspoon Surgery Center Inc
Medicaid Provider in Springfield, MO
Type
Organization
Address
1103 E Montclair St Ste 110
Springfield, MO 658075076
Phone
4174472482
NPI
1629105770
Procedures
4
Total Claims
990
Patients Served
877
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 | $37.31 | 583 | 535 |
| Root Canal | $149.88 | 193 | 151 |
| Tooth Extraction | $236.23 | 185 | 166 |
| Dental Filling | $547.06 | 29 | 25 |
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