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Based on public Medicaid payment data.

Robert Laforrest Shoun

Medicaid Provider in West Columbia, SC

Type

Individual Provider

Address

125 Medical Cir

West Columbia, SC 291693655

Phone

8033488976

NPI

1306069299

Procedures

4

Total Claims

37K

Patients Served

33.4K

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 $33.09 30,450 30,441
Dental Filling $115.73 2,432 1,276
Tooth Extraction $90.81 2,131 1,110
Root Canal $82.87 1,989 618

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