Based on public Medicaid payment data.
Prachi Shridhar Sontakke
Medicaid Provider in Rock Hill, SC
Type
Individual Provider
Address
1505 Ebenezer Rd
Rock Hill, SC 297321806
Phone
8574130948
NPI
1124452636
Procedures
4
Total Claims
2.4K
Patients Served
2.2K
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 | $38.39 | 2,043 | 2,041 |
| Dental Filling | $105.74 | 273 | 161 |
| Root Canal | $552.64 | 27 | 26 |
| Tooth Extraction | $136.54 | 17 | 13 |
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