Based on public Medicaid payment data.
Jeremy Dustin Brock
Medicaid Provider in Southern Pines, NC
Type
Individual Provider
Address
10868 Us Highway 15 501
Southern Pines, NC 283875149
Phone
9105850262
NPI
1386392629
Procedures
2
Total Claims
1.8K
Patients Served
1.8K
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 | $31.32 | 1,762 | 1,726 |
| Dental Filling | $107.96 | 51 | 33 |
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