Based on public Medicaid payment data.
John B Gouch
Medicaid Provider in Charlotte, NC
Type
Individual Provider
Address
3616 Michigan Ave
Charlotte, NC 28215
Phone
7045376636
NPI
1043270846
Procedures
3
Total Claims
11K
Patients Served
10.6K
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 | $31.70 | 10,774 | 10,519 |
| Tooth Extraction | $78.44 | 197 | 77 |
| Dental Filling | $110.66 | 46 | 25 |
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