Based on public Medicaid payment data.
Great Lakes Jaw Surgery, Pc
Medicaid Provider in Grand Rapids, MI
Type
Organization
Address
2017 Eastcastle Dr Se
Grand Rapids, MI 495088872
Phone
6162812370
NPI
1326291816
Procedures
1
Total Claims
63
Patients Served
63
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 | $62.94 | 63 | 63 |
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