Based on public Medicaid payment data.
Shelli Boucher
Medicaid Provider in Indian Trail, NC
Type
Individual Provider
Address
185 Marron Dr
Indian Trail, NC 280794510
Phone
8604287204
NPI
1356773691
Procedures
2
Total Claims
136
Patients Served
89
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 Filling | $83.35 | 114 | 77 |
| Tooth Extraction | $54.13 | 22 | 12 |
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