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Based on public Medicaid payment data.

Perry Stephen Justice

Medicaid Provider in Statesville, NC

Type

Individual Provider

Address

2117 Simonton Rd

Statesville, NC 286258403

Phone

7048738899

NPI

1851421515

Procedures

3

Total Claims

62.7K

Patients Served

57.9K

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 $30.25 53,361 51,017
Dental Filling $78.57 8,073 5,923
Tooth Extraction $60.64 1,306 919

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