Based on public Medicaid payment data.
Gordon Roux Dawson
Medicaid Provider in Summerville, SC
Type
Individual Provider
Address
209 W 4Th North St
Summerville, SC 294836541
Phone
8438735921
NPI
1659329548
Procedures
1
Total Claims
120
Patients Served
120
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 | $42.46 | 120 | 120 |
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