Based on public Medicaid payment data.
Grant Aloysius Powderly
Medicaid Provider in Union, MO
Type
Individual Provider
Address
1780 Old Highway 50 E
Union, MO 630843219
Phone
8448538937
NPI
1700627973
Procedures
1
Total Claims
13
Patients Served
12
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 | $62.47 | 13 | 12 |
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