Based on public Medicaid payment data.
Azaryas Tadiwos Mandefro
Medicaid Provider in Arnold, MO
Type
Individual Provider
Address
3850 Jeffco Blvd
Arnold, MO 63010
Phone
6363333304
NPI
1881922193
Procedures
3
Total Claims
6.5K
Patients Served
4.9K
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 | $26.35 | 3,997 | 3,913 |
| Dental Filling | $67.89 | 2,340 | 896 |
| Tooth Extraction | $48.66 | 125 | 57 |
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