Based on public Medicaid payment data.
Louis Edward Costa
Medicaid Provider in Bluffton, SC
Type
Individual Provider
Address
168 Bluffton Rd
Bluffton, SC 299106248
Phone
8437572828
NPI
1699022624
Procedures
2
Total Claims
1.2K
Patients Served
1.2K
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 | $33.26 | 1,200 | 1,200 |
| Dental Filling | $99.71 | 22 | 12 |
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