Based on public Medicaid payment data.
Whitney Devore Simons
Medicaid Provider in Columbia, SC
Type
Individual Provider
Address
4323 Hill St
Columbia, SC 292076022
Phone
8037516211
NPI
1497279269
Procedures
3
Total Claims
492
Patients Served
486
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 | $35.04 | 455 | 455 |
| Tooth Extraction | $143.45 | 23 | 19 |
| Dental Filling | $72.72 | 14 | 12 |
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