Based on public Medicaid payment data.
Calli Layne Baranouski
Medicaid Provider in Charleston, SC
Type
Individual Provider
Address
808 Wappoo Rd
Charleston, SC 294075865
Phone
8432128820
NPI
1811642895
Procedures
2
Total Claims
933
Patients Served
905
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 | $36.13 | 777 | 777 |
| Dental Filling | $116.12 | 156 | 128 |
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