Based on public Medicaid payment data.
Randolph Terry Evans
Medicaid Provider in Martinsburg, WV
Type
Individual Provider
Address
22 Sierra Drive
Martinsburg, WV 254031133
Phone
3042633131
NPI
1568682276
Procedures
1
Total Claims
17
Patients Served
17
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 | $25.00 | 17 | 17 |
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