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Based on public Medicaid payment data.

Thaddous L Archie

Medicaid Provider in Elk Grove, CA

Type

Individual Provider

Address

8013 Laguna Blvd Ste 2

Elk Grove, CA 957587920

Phone

9166916020

NPI

1992864011

Procedures

2

Total Claims

6.5K

Patients Served

5.9K

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 $36.47 5,343 5,192
Dental Filling $42.55 1,175 688

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