Based on public Medicaid payment data.
Rafael Rivera
Medicaid Provider in Charlotte, NC
Type
Individual Provider
Address
4901 N Tryon St
Charlotte, NC 282137033
Phone
7049210204
NPI
1013912427
Procedures
4
Total Claims
24.8K
Patients Served
22K
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 | $28.59 | 20,381 | 19,306 |
| Dental Filling | $80.82 | 3,847 | 2,341 |
| Tooth Extraction | $58.35 | 591 | 345 |
| Root Canal | $84.80 | 16 | 12 |
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