Based on public Medicaid payment data.
Domenik Randon
Medicaid Provider in Whiteville, NC
Type
Individual Provider
Address
5 Whiteville Town Ctr
Whiteville, NC 284724401
Phone
9102126613
NPI
1669941852
Procedures
2
Total Claims
816
Patients Served
749
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 | $37.08 | 764 | 718 |
| Tooth Extraction | $78.37 | 52 | 31 |
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