Based on public Medicaid payment data.
Shannon Brock Wilson
Medicaid Provider in Honea Path, SC
Type
Individual Provider
Address
19 Shirmadon Dr
Honea Path, SC 296541533
Phone
8643692966
NPI
1477681146
Procedures
1
Total Claims
12
Patients Served
12
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 | $23.00 | 12 | 12 |
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