Based on public Medicaid payment data.
Jessica Simon
Medicaid Provider in Charlotte, NC
Type
Individual Provider
Address
13515 Steele Creek Rd Ste 213
Charlotte, NC 282736839
Phone
7043360558
NPI
1972920676
Procedures
3
Total Claims
15K
Patients Served
13.2K
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 |
|---|---|---|---|
| Dental Cleaning & Exam | $26.96 | 12,392 | 11,662 |
| Dental Filling | $90.13 | 2,016 | 1,176 |
| Tooth Extraction | $63.12 | 633 | 359 |
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