Based on public Medicaid payment data.
Kevin Charles Lucky
Medicaid Provider in Summersville, WV
Type
Individual Provider
Address
832 Broad Street
Summersville, WV 26651
Phone
3048723919
NPI
1104970300
Procedures
1
Total Claims
96
Patients Served
82
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 | $15.89 | 96 | 82 |
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