Based on public Medicaid payment data.
Kenly Lewis Dine
Medicaid Provider in Fayetteville, NC
Type
Individual Provider
Address
4140 Ramsey St
Fayetteville, NC 283117672
Phone
9106706321
NPI
1003252917
Procedures
2
Total Claims
561
Patients Served
533
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 | $27.36 | 538 | 520 |
| Dental Filling | $100.45 | 23 | 13 |
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