Based on public Medicaid payment data.
Colton R Tilley
Medicaid Provider in Charlotte, NC
Type
Individual Provider
Address
8401 Executive Park Dr #120
Charlotte, NC 28262
Phone
7045488563
NPI
1750126348
Procedures
3
Total Claims
762
Patients Served
503
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 Filling | $109.29 | 396 | 226 |
| Dental Cleaning & Exam | $34.72 | 232 | 227 |
| Tooth Extraction | $96.66 | 134 | 50 |
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