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Based on public Medicaid payment data.

Donya Demesha Wallace

Medicaid Provider in Kingstree, SC

Type

Individual Provider

Address

201 Short St

Kingstree, SC 295563926

Phone

8423547324

NPI

1558384164

Procedures

1

Total Claims

212

Patients Served

134

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
Psychiatric Evaluation $74.25 212 134

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