Based on public Medicaid payment data.
Augustus Allen Petticolas
Medicaid Provider in Lynchburg, VA
Type
Individual Provider
Address
1342 Park Ave
Lynchburg, VA 245011824
Phone
4345283375
NPI
1023178316
Procedures
2
Total Claims
691
Patients Served
627
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 | $23.62 | 620 | 597 |
| Tooth Extraction | $82.12 | 71 | 30 |
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