Based on public Medicaid payment data.
Kenneth Wayne Johnson
Medicaid Provider in Tupelo, MS
Type
Individual Provider
Address
704 Hillcrest
Tupelo, MS 38804
Phone
6628408540
NPI
1497836704
Procedures
4
Total Claims
37.8K
Patients Served
32.1K
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 | $28.64 | 33,231 | 29,369 |
| Dental Filling | $93.39 | 2,809 | 1,884 |
| Tooth Extraction | $74.47 | 1,372 | 653 |
| Root Canal | $92.93 | 367 | 209 |
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