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Based on public Medicaid payment data.

Lydia Purvis Winters

Medicaid Provider in Fort Defiance, AZ

Type

Individual Provider

Address

Corner Of Route N12 And N7

Fort Defiance, AZ 86504

Phone

9287298000

NPI

1063675312

Procedures

3

Total Claims

15.8K

Patients Served

14.2K

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 $36.54 13,107 12,414
Dental Filling $56.11 2,682 1,716
Tooth Extraction $51.03 31 20

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