Based on public Medicaid payment data.
Daniel Bryce Petersen
Medicaid Provider in Shaw Afb, SC
Type
Individual Provider
Address
420 Polifka Dr Bldg 1042
Shaw Afb, SC 291525100
Phone
8038956951
NPI
1003498825
Procedures
1
Total Claims
352
Patients Served
352
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 | $33.17 | 352 | 352 |
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