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Based on public Medicaid payment data.

Kevin Lamont Williams

Medicaid Provider in Spartanburg, SC

Type

Individual Provider

Address

111 Westview Blvd

Spartanburg, SC 293064132

Phone

8645823266

NPI

1447236351

Procedures

3

Total Claims

15.2K

Patients Served

14.3K

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 $36.65 12,883 12,875
Dental Filling $82.45 1,213 775
Tooth Extraction $112.31 1,062 641

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