Based on public Medicaid payment data.
Jolene Wise
Medicaid Provider in South Charleston, WV
Type
Individual Provider
Address
43 Coventry Rdg
South Charleston, WV 253099541
Phone
3047460020
NPI
1265691463
Procedures
1
Total Claims
179
Patients Served
179
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 | $34.82 | 179 | 179 |
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