Based on public Medicaid payment data.
Nabil Moussa
Medicaid Provider in Ladson, SC
Type
Individual Provider
Address
3700 Ingleside Blvd # 101
Ladson, SC 294564141
Phone
8439365061
NPI
1073965174
Procedures
2
Total Claims
234
Patients Served
218
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 | $38.65 | 206 | 206 |
| Tooth Extraction | $143.04 | 28 | 12 |
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