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Based on public Medicaid payment data.

Dominic Pelle

Medicaid Provider in Grand Rapids, MI

Type

Individual Provider

Address

1000 Monroe Ave Nw

Grand Rapids, MI 495031455

Phone

6166856497

NPI

1184945453

Procedures

1

Total Claims

32

Patients Served

29

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
Office Visit $31.17 32 29

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