Based on public Medicaid payment data.
Lisa Mcevoy
Medicaid Provider in Springfield, MO
Type
Individual Provider
Address
440 E Tampa St
Springfield, MO 65806
Phone
4178511589
NPI
1063854339
Procedures
3
Total Claims
8.4K
Patients Served
7.5K
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 | $41.67 | 6,401 | 6,333 |
| Dental Filling | $118.07 | 1,421 | 974 |
| Tooth Extraction | $62.00 | 572 | 211 |
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