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Based on public Medicaid payment data.

Raymond S Vicente

Medicaid Provider in North Charleston, SC

Type

Individual Provider

Address

7481 Northside Dr

North Charleston, SC 29420

Phone

8438638634

NPI

1194838532

Procedures

2

Total Claims

1.4K

Patients Served

1.3K

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 $33.88 1,259 1,259
Dental Filling $79.05 127 56

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