Based on public Medicaid payment data.
Pavel Dubinetsky
Medicaid Provider in Coolidge, AZ
Type
Individual Provider
Address
1185 N Arizona Blvd
Coolidge, AZ 851283203
Phone
5203793343
NPI
1700409166
Procedures
2
Total Claims
425
Patients Served
384
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 | $36.34 | 333 | 326 |
| Tooth Extraction | $74.57 | 92 | 58 |
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