Based on public Medicaid payment data.
Deeptha Surampudi
Medicaid Provider in Charlotte, NC
Type
Individual Provider
Address
10106 Johnston Rd Ste C
Charlotte, NC 282100141
Phone
7045570011
NPI
1831591106
Procedures
3
Total Claims
2.9K
Patients Served
1.9K
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 | $19.93 | 1,281 | 1,241 |
| Dental Filling | $51.43 | 935 | 368 |
| Tooth Extraction | $64.42 | 731 | 284 |
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