Based on public Medicaid payment data.
Minatullah Mousa
Medicaid Provider in Orangeburg, SC
Type
Individual Provider
Address
1350 Grove Park Dr
Orangeburg, SC 291152455
Phone
8038550726
NPI
1285314971
Procedures
3
Total Claims
7.5K
Patients Served
7.2K
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 | $37.47 | 6,211 | 6,210 |
| Dental Filling | $105.23 | 1,216 | 917 |
| Tooth Extraction | $127.08 | 110 | 90 |
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