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Based on public Medicaid payment data.

Tobie Delton Moore

Medicaid Provider in Woodville, MS

Type

Individual Provider

Address

643 Highway 61 S

Woodville, MS 396691297

Phone

6018883412

NPI

1275532806

Procedures

3

Total Claims

6.2K

Patients Served

3.9K

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 $29.56 4,860 3,449
Dental Filling $98.26 1,261 415
Tooth Extraction $53.98 77 24

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