Based on public Medicaid payment data.
Samantha Mize
Medicaid Provider in Charleston, SC
Type
Individual Provider
Address
29 Bee St
Charleston, SC 294250001
Phone
8437923916
NPI
1730633363
Procedures
4
Total Claims
11.5K
Patients Served
9.7K
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 | $55.67 | 9,230 | 8,750 |
| Dental Filling | $146.17 | 1,377 | 748 |
| Tooth Extraction | $88.78 | 853 | 185 |
| Root Canal | $127.39 | 89 | 38 |
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