Based on public Medicaid payment data.
John Frazier Boutwell
Medicaid Provider in Greenville, SC
Type
Individual Provider
Address
3369 Pelham Rd
Greenville, SC 296154105
Phone
8642976365
NPI
1770108102
Procedures
2
Total Claims
2.1K
Patients Served
1.5K
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 | $35.71 | 1,581 | 1,310 |
| Dental Filling | $72.76 | 470 | 239 |
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