Based on public Medicaid payment data.
Vanessa De La Rosa
Medicaid Provider in Columbia, SC
Type
Individual Provider
Address
8905 Two Notch Rd
Columbia, SC 292236367
Phone
8038304387
NPI
1326534090
Procedures
3
Total Claims
12.4K
Patients Served
12.1K
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 | $34.48 | 11,632 | 11,581 |
| Dental Filling | $75.18 | 600 | 448 |
| Tooth Extraction | $107.32 | 148 | 79 |
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