Based on public Medicaid payment data.
David Gilbert Hacker
Medicaid Provider in Springfield, MO
Type
Individual Provider
Address
440 E Tampa St
Springfield, MO 658061131
Phone
4178310150
NPI
1902042336
Procedures
2
Total Claims
971
Patients Served
357
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 | $99.93 | 876 | 269 |
| Dental Cleaning & Exam | $49.90 | 95 | 88 |
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