Based on public Medicaid payment data.
David Dwight Goltra
Medicaid Provider in Mt Pleasant, SC
Type
Individual Provider
Address
582 Lone Tree Drive
Mt Pleasant, SC 29464
Phone
8433520674
NPI
1477640647
Procedures
1
Total Claims
84
Patients Served
82
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 |
|---|---|---|---|
| MRI (Magnetic Resonance Imaging) | $151.76 | 84 | 82 |
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