Based on public Medicaid payment data.
Charles Moore
Medicaid Provider in Summerville, SC
Type
Individual Provider
Address
1710 Trolley Rd Ste B
Summerville, SC 294858281
Phone
8438710711
NPI
1114336310
Procedures
3
Total Claims
3K
Patients Served
2.7K
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 | $37.36 | 2,083 | 2,083 |
| Dental Filling | $84.34 | 648 | 403 |
| Tooth Extraction | $135.09 | 260 | 194 |
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