Based on public Medicaid payment data.
Charles Glenn Stone
Medicaid Provider in Tyler, TX
Type
Individual Provider
Address
3100 New Copeland Rd
Tyler, TX 757017940
Phone
9035972848
NPI
1841219342
Procedures
1
Total Claims
14
Patients Served
13
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 | $16.10 | 14 | 13 |
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