Based on public Medicaid payment data.
Oral & Maxillofacial Surgery Of Greater Grand Rapids Llc
Medicaid Provider in Caledonia, MI
Type
Organization
Address
9021 N Rodgers Ct Se Ste A
Caledonia, MI 493167650
Phone
6168911700
NPI
1295375137
Procedures
1
Total Claims
41
Patients Served
14
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 |
|---|---|---|---|
| Tooth Extraction | $143.15 | 41 | 14 |
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