Based on public Medicaid payment data.
Professional Dental Alliance Of Michigan, Llc
Medicaid Provider in Center Line, MI
Type
Organization
Address
23845 Van Dyke Ave
Center Line, MI 480151300
Phone
5864670063
NPI
1942740337
Procedures
4
Total Claims
13.3K
Patients Served
11.1K
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 | $30.48 | 8,277 | 8,220 |
| Dental Filling | $91.05 | 2,369 | 1,532 |
| Tooth Extraction | $56.62 | 2,289 | 1,084 |
| Dental Crown | $528.50 | 322 | 252 |
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