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Based on public Medicaid payment data.

Andrew Joseph Ponton

Medicaid Provider in Goose Creek, SC

Type

Individual Provider

Address

122A S Goose Creek Blvd

Goose Creek, SC 294453136

Phone

8437643081

NPI

1457734774

Procedures

1

Total Claims

292

Patients Served

292

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 $33.57 292 292

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