Based on public Medicaid payment data.
Cecilia Liu
Medicaid Provider in Bolivia, NC
Type
Individual Provider
Address
3071 Southport Supply Rd Se
Bolivia, NC 28422
Phone
9102530000
NPI
1689080632
Procedures
5
Total Claims
33.7K
Patients Served
28.3K
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 | $30.01 | 23,060 | 22,599 |
| Dental Filling | $98.98 | 8,713 | 4,611 |
| Tooth Extraction | $67.23 | 1,686 | 891 |
| Prescription Medications | $15.11 | 215 | 206 |
| Root Canal | $84.80 | 32 | 15 |
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