Based on public Medicaid payment data.
William Summerville
Medicaid Provider in Charlotte, NC
Type
Individual Provider
Address
475 N Wendover Rd
Charlotte, NC 282111064
Phone
7045405400
NPI
1447364674
Procedures
3
Total Claims
19.6K
Patients Served
18K
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 | $32.46 | 16,306 | 15,992 |
| Dental Filling | $101.71 | 2,529 | 1,641 |
| Tooth Extraction | $63.19 | 718 | 368 |
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