Based on public Medicaid payment data.
Lee E Roundy
Medicaid Provider in Fort Defiance, AZ
Type
Individual Provider
Address
Corner Of Route N12 And N7
Fort Defiance, AZ 865040649
Phone
9287298000
NPI
1972585107
Procedures
3
Total Claims
7.9K
Patients Served
6.2K
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 | $34.04 | 5,387 | 4,954 |
| Dental Filling | $38.72 | 1,394 | 797 |
| Tooth Extraction | $31.17 | 1,116 | 432 |
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