Based on public Medicaid payment data.
Gabriel Ross
Medicaid Provider in Summerville, SC
Type
Individual Provider
Address
2001 2Nd Ave Ste 102
Summerville, SC 294867887
Phone
8438768815
NPI
1184043226
Procedures
4
Total Claims
17K
Patients Served
16K
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 | $33.43 | 14,523 | 14,517 |
| Dental Filling | $92.31 | 1,751 | 1,125 |
| Tooth Extraction | $89.54 | 707 | 328 |
| Root Canal | $81.86 | 22 | 12 |
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