Based on public Medicaid payment data.
Keith Holm Llc
Medicaid Provider in El Mirage, AZ
Type
Organization
Address
13915 N Dysart Rd Ste A1
El Mirage, AZ 853357333
Phone
6234446340
NPI
1417441767
Procedures
1
Total Claims
42
Patients Served
42
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 | $0.00 | 42 | 42 |
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