Based on public Medicaid payment data.
Marcelle Desronvil-Lissade
Medicaid Provider in Selma, NC
Type
Individual Provider
Address
1111 S Pollock St
Selma, NC 275762933
Phone
9199652552
NPI
1538206537
Procedures
4
Total Claims
10.3K
Patients Served
9.6K
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 | $29.86 | 8,004 | 7,899 |
| Dental Filling | $96.15 | 1,754 | 1,324 |
| Tooth Extraction | $62.63 | 489 | 324 |
| Root Canal | $84.80 | 15 | 13 |
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