Based on public Medicaid payment data.
Mouna A Bosler
Medicaid Provider in Columbia, SC
Type
Individual Provider
Address
3000 Two Notch Rd
Columbia, SC 292042822
Phone
8036919930
NPI
1578529384
Procedures
4
Total Claims
63.5K
Patients Served
60.8K
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 | $34.56 | 53,476 | 53,440 |
| Dental Filling | $93.93 | 7,726 | 5,680 |
| Tooth Extraction | $87.09 | 1,749 | 1,227 |
| Root Canal | $82.38 | 572 | 440 |
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