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Based on public Medicaid payment data.

Jessaca Shonte Charite

Medicaid Provider in Roanoke, VA

Type

Individual Provider

Address

3716 Melrose Ave Nw

Roanoke, VA 240172716

Phone

5403620360

NPI

1710544176

Procedures

3

Total Claims

4.4K

Patients Served

4K

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 $34.05 3,269 3,202
Dental Filling $89.67 846 579
Tooth Extraction $76.18 288 209

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