Based on public Medicaid payment data.
Andrew Danczak
Medicaid Provider in Cleveland, OH
Type
Individual Provider
Address
4163 Pearl Rd
Cleveland, OH 441093332
Phone
2162801600
NPI
1730571043
Procedures
3
Total Claims
358
Patients Served
317
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 | $21.59 | 278 | 276 |
| Tooth Extraction | $56.54 | 50 | 19 |
| Dental Filling | $54.00 | 30 | 22 |
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