Based on public Medicaid payment data.
Stephen C Mallow
Medicaid Provider in Upper Tract, WV
Type
Individual Provider
Address
8791 Petersbug Pike
Upper Tract, WV 268668016
Phone
3043587200
NPI
1720185523
Procedures
2
Total Claims
874
Patients Served
795
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 | $32.26 | 832 | 758 |
| Dental Filling | $150.68 | 42 | 37 |
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