Based on public Medicaid payment data.
Daniel E Pouchot
Medicaid Provider in Charlotte Courthouse, VA
Type
Individual Provider
Address
165 Legrande Avenue
Charlotte Courthouse, VA 23923
Phone
4345425560
NPI
1902002991
Procedures
1
Total Claims
167
Patients Served
167
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 | $28.53 | 167 | 167 |
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