Based on public Medicaid payment data.
Stephen Phillip Moore
Medicaid Provider in Wichita, KS
Type
Individual Provider
Address
356 N Rock Rd
Wichita, KS 672062200
Phone
3166813228
NPI
1376519439
Procedures
4
Total Claims
18K
Patients Served
15.6K
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 | $27.75 | 13,629 | 13,456 |
| Dental Filling | $72.07 | 3,208 | 1,724 |
| Tooth Extraction | $87.79 | 589 | 256 |
| Root Canal | $59.61 | 524 | 175 |
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