Based on public Medicaid payment data.
Kelly Lewis Thompson
Medicaid Provider in Moncks Corner, SC
Type
Individual Provider
Address
216 E Main St
Moncks Corner, SC 294613709
Phone
8438921104
NPI
1871781617
Procedures
3
Total Claims
48.7K
Patients Served
44.9K
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 | $33.23 | 38,025 | 38,024 |
| Dental Filling | $95.45 | 8,385 | 5,945 |
| Tooth Extraction | $105.41 | 2,303 | 950 |
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