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Based on public Medicaid payment data.

Tamara Nicole Evans

Medicaid Provider in Winston Salem, NC

Type

Individual Provider

Address

108 Piccadilly Dr Ste B

Winston Salem, NC 271043526

Phone

3368373934

NPI

1225286636

Procedures

3

Total Claims

16.8K

Patients Served

13.5K

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 $27.34 12,984 11,543
Dental Filling $80.62 3,186 1,653
Tooth Extraction $55.64 601 336

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