Based on public Medicaid payment data.
Deyon A Mccalla
Medicaid Provider in Statesville, NC
Type
Individual Provider
Address
518 Brookdale Dr
Statesville, NC 286774108
Phone
7048381108
NPI
1649420241
Procedures
5
Total Claims
10.1K
Patients Served
6.7K
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 | $27.42 | 5,568 | 4,967 |
| Dental Filling | $86.30 | 2,413 | 1,014 |
| Tooth Extraction | $48.27 | 1,861 | 486 |
| Prescription Medications | $11.14 | 175 | 159 |
| Root Canal | $68.44 | 57 | 25 |
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