Based on public Medicaid payment data.
Ethan Mitchell Berman
Medicaid Provider in Charleston, SC
Type
Individual Provider
Address
173 Ashley Ave
Charleston, SC 294258908
Phone
8437922101
NPI
1205573367
Procedures
4
Total Claims
18.2K
Patients Served
17.6K
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 | $35.08 | 15,950 | 15,941 |
| Dental Filling | $108.06 | 1,196 | 882 |
| Tooth Extraction | $123.94 | 1,068 | 772 |
| Root Canal | $85.00 | 12 | 12 |
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