Based on public Medicaid payment data.
Lajuan M Mountain
Medicaid Provider in York, PA
Type
Individual Provider
Address
415 E Boundary Ave
York, PA 174032811
Phone
7178465174
NPI
1235177247
Procedures
1
Total Claims
514
Patients Served
514
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 | $0.00 | 514 | 514 |
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