Based on public Medicaid payment data.
Daniel Travis Johnston
Medicaid Provider in Tupelo, MS
Type
Individual Provider
Address
101 N Industrial Rd
Tupelo, MS 388013441
Phone
6626803383
NPI
1881034890
Procedures
3
Total Claims
86.9K
Patients Served
67.5K
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 | $27.62 | 71,807 | 59,657 |
| Dental Filling | $95.05 | 11,182 | 5,704 |
| Tooth Extraction | $69.90 | 3,915 | 2,145 |
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