Based on public Medicaid payment data.
Kelvin Bostick
Medicaid Provider in Ridgeland, SC
Type
Individual Provider
Address
10832 N Jacob Smart Blvd
Ridgeland, SC 299362707
Phone
8437265711
NPI
1477925824
Procedures
3
Total Claims
7.7K
Patients Served
6.5K
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 | $34.88 | 5,333 | 5,328 |
| Dental Filling | $94.84 | 2,130 | 1,027 |
| Tooth Extraction | $118.20 | 227 | 143 |
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