Based on public Medicaid payment data.
Abdullah Sufian Elassouli
Medicaid Provider in Tupelo, MS
Type
Individual Provider
Address
837 S Gloster St
Tupelo, MS 388014933
Phone
6628446767
NPI
1841762200
Procedures
1
Total Claims
75
Patients Served
72
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 | $28.58 | 75 | 72 |
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