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Based on public Medicaid payment data.

Ks2 Ms Pc

Medicaid Provider in Tupelo, MS

Type

Organization

Address

401 S Gloster St

Tupelo, MS 388015539

Phone

7709169000

NPI

1528258464

Procedures

4

Total Claims

19.9K

Patients Served

17.6K

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 $29.68 13,810 13,484
Dental Filling $97.33 5,574 3,777
Tooth Extraction $94.20 401 278
Root Canal $84.62 84 46

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