Based on public Medicaid payment data.
Lake Michigan Dental Pc
Medicaid Provider in Grand Rapids, MI
Type
Organization
Address
2150 Lake Michigan Drive Nw
Grand Rapids, MI 495044798
Phone
6164538211
NPI
1164548640
Procedures
1
Total Claims
57
Patients Served
57
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 | $30.81 | 57 | 57 |
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