Based on public Medicaid payment data.
Lewis Tyler Sumner
Medicaid Provider in Anderson, SC
Type
Individual Provider
Address
1209 Ella St
Anderson, SC 296214811
Phone
8642267503
NPI
1225011323
Procedures
2
Total Claims
4K
Patients Served
2.6K
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 |
|---|---|---|---|
| Tooth Extraction | $180.30 | 2,555 | 1,144 |
| Dental Cleaning & Exam | $37.74 | 1,476 | 1,476 |
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