Based on public Medicaid payment data.
Ashley Goss
Medicaid Provider in Belmont, NC
Type
Individual Provider
Address
420 Park St Ste 101
Belmont, NC 280123393
Phone
7047554600
NPI
1922240969
Procedures
4
Total Claims
34.5K
Patients Served
30.9K
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 | $27.52 | 29,105 | 27,405 |
| Dental Filling | $91.02 | 3,956 | 2,834 |
| Tooth Extraction | $59.32 | 1,422 | 696 |
| Prescription Medications | $1.96 | 12 | 12 |
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