Based on public Medicaid payment data.
Children'S Dental Clinic, Pa
Medicaid Provider in Tupelo, MS
Type
Organization
Address
1555 Medical Park Cir
Tupelo, MS 388016580
Phone
6628443315
NPI
1619579349
Procedures
1
Total Claims
265
Patients Served
175
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 | $22.77 | 265 | 175 |
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