Based on public Medicaid payment data.
Scott David Pelok
Medicaid Provider in Cleveland, OH
Type
Individual Provider
Address
9601 Chester Ave Ste 345C
Cleveland, OH 441061666
Phone
2163682486
NPI
1477600039
Procedures
2
Total Claims
861
Patients Served
410
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 | $107.15 | 724 | 280 |
| Dental Cleaning & Exam | $36.69 | 137 | 130 |
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