Based on public Medicaid payment data.
Keith Stanley Wickizer
Medicaid Provider in Summerville, SC
Type
Individual Provider
Address
100 Omalley Dr Unit B
Summerville, SC 294835635
Phone
8432610142
NPI
1932198801
Procedures
1
Total Claims
18
Patients Served
18
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 | $44.77 | 18 | 18 |
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