Based on public Medicaid payment data.
Jewel Sparkle Ann Pompey
Medicaid Provider in Ridge Spring, SC
Type
Individual Provider
Address
634 E Main St
Ridge Spring, SC 291299139
Phone
8036855555
NPI
1861622243
Procedures
3
Total Claims
23.7K
Patients Served
22K
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 | $33.34 | 18,286 | 18,282 |
| Dental Filling | $67.49 | 4,335 | 2,971 |
| Tooth Extraction | $81.69 | 1,045 | 767 |
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