Based on public Medicaid payment data.
Charles Edward Sammons
Medicaid Provider in Kermit, WV
Type
Individual Provider
Address
180 Mingo Ave
Kermit, WV 25674
Phone
3043931030
NPI
1447441761
Procedures
3
Total Claims
4.4K
Patients Served
4.1K
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 | $34.97 | 4,050 | 3,948 |
| Tooth Extraction | $37.15 | 258 | 84 |
| Dental Filling | $59.35 | 100 | 70 |
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