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Based on public Medicaid payment data.

Brent Andrew Ponce

Medicaid Provider in Charleston, SC

Type

Individual Provider

Address

171 Ashley Ave

Charleston, SC 294258908

Phone

8437921414

NPI

1659358091

Procedures

2

Total Claims

443

Patients Served

375

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
Office Visit $57.71 417 349
X-Ray $8.58 26 26

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