Based on public Medicaid payment data.
Stephen G Mack
Medicaid Provider in Springfield, MO
Type
Individual Provider
Address
1316 E Independence St
Springfield, MO 658044262
Phone
4178890700
NPI
1710207790
Procedures
4
Total Claims
14.1K
Patients Served
10.4K
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 | $34.31 | 6,390 | 6,349 |
| Dental Filling | $138.21 | 4,599 | 2,929 |
| Tooth Extraction | $100.88 | 2,958 | 1,052 |
| Dental Crown | $666.94 | 114 | 85 |
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