Based on public Medicaid payment data.
Racquel Johnson
Medicaid Provider in Summerville, SC
Type
Individual Provider
Address
108 Bentons Lodge Rd Ste A
Summerville, SC 294856336
Phone
8438921098
NPI
1932185790
Procedures
4
Total Claims
10.6K
Patients Served
10.2K
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 | $30.30 | 9,422 | 9,377 |
| Dental Filling | $66.68 | 1,012 | 702 |
| Tooth Extraction | $59.51 | 165 | 101 |
| Root Canal | $68.61 | 18 | 13 |
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