Based on public Medicaid payment data.
Latonya Cowser Gordon
Medicaid Provider in Winston Salem, NC
Type
Individual Provider
Address
1500 Mount Zion Pl
Winston Salem, NC 271013254
Phone
3367480033
NPI
1114175528
Procedures
3
Total Claims
25.9K
Patients Served
24K
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 | $28.17 | 21,391 | 20,396 |
| Dental Filling | $91.73 | 3,633 | 2,966 |
| Tooth Extraction | $61.75 | 837 | 601 |
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