Based on public Medicaid payment data.
James M. Richardson, Jr.
Medicaid Provider in Lake City, SC
Type
Individual Provider
Address
804 W Main St
Lake City, SC 295604400
Phone
8433748010
NPI
1629166889
Procedures
2
Total Claims
732
Patients Served
729
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 | 717 | 717 |
| Dental Filling | $80.03 | 15 | 12 |
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