Based on public Medicaid payment data.
Advaita Susarla
Medicaid Provider in North Charleston, SC
Type
Individual Provider
Address
5621 Rivers Ave
North Charleston, SC 294066022
Phone
8436410143
NPI
1346756533
Procedures
3
Total Claims
26.2K
Patients Served
23.8K
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 | $35.72 | 22,202 | 21,131 |
| Dental Filling | $58.25 | 3,763 | 2,477 |
| Tooth Extraction | $28.48 | 237 | 178 |
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