Based on public Medicaid payment data.
Victoria Ester Graham
Medicaid Provider in Tupelo, MS
Type
Individual Provider
Address
401 S Gloster St
Tupelo, MS 388015540
Phone
6622694025
NPI
1174965982
Procedures
3
Total Claims
33.7K
Patients Served
27.4K
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 | $26.46 | 28,468 | 24,444 |
| Dental Filling | $68.77 | 4,800 | 2,632 |
| Tooth Extraction | $73.66 | 475 | 303 |
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