Based on public Medicaid payment data.
Jose Gregorio Ravelo
Medicaid Provider in Charleston, WV
Type
Individual Provider
Address
1215 Virginia St E
Charleston, WV 253012908
Phone
3043451092
NPI
1457693020
Procedures
2
Total Claims
2.4K
Patients Served
1.2K
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 |
|---|---|---|---|
| Tooth Extraction | $150.04 | 1,496 | 275 |
| Dental Cleaning & Exam | $36.79 | 923 | 895 |
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