Based on public Medicaid payment data.
Charles William Pelton
Medicaid Provider in De Soto, MO
Type
Individual Provider
Address
126 S Main St
De Soto, MO 630202104
Phone
6365865406
NPI
1962767665
Procedures
1
Total Claims
55
Patients Served
55
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 |
|---|---|---|---|
| Eye Exam | $66.03 | 55 | 55 |
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