Based on public Medicaid payment data.
Tyler Lovelle Nguyen
Medicaid Provider in Charleston, SC
Type
Individual Provider
Address
4400 Dorchester Rd
Charleston, SC 294056849
Phone
8437900626
NPI
1932807856
Procedures
2
Total Claims
1.9K
Patients Served
1.8K
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 | $36.86 | 1,424 | 1,422 |
| Dental Filling | $102.64 | 495 | 379 |
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