Based on public Medicaid payment data.
Monica Latrise Bolds
Medicaid Provider in Decatur, GA
Type
Individual Provider
Address
2600 Milscott Dr Apt 1234
Decatur, GA 30033
Phone
9177160899
NPI
1285626598
Procedures
3
Total Claims
4.2K
Patients Served
3.6K
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 | $24.58 | 3,074 | 3,007 |
| Dental Filling | $69.32 | 1,081 | 600 |
| Root Canal | $77.39 | 43 | 26 |
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