Based on public Medicaid payment data.
Sasankoti Mohan Ravi Prakash
Medicaid Provider in Florence, SC
Type
Individual Provider
Address
360 N Irby St
Florence, SC 295012808
Phone
8436679414
NPI
1346970613
Procedures
2
Total Claims
94
Patients Served
71
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 |
|---|---|---|---|
| Tooth Extraction | $118.73 | 67 | 44 |
| Dental Cleaning & Exam | $32.51 | 27 | 27 |
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