Based on public Medicaid payment data.
Pediatric Dental Specialists Of West Michigan
Medicaid Provider in Grand Rapids, MI
Type
Organization
Address
2155 E Paris Ave Se Ste 120
Grand Rapids, MI 495466142
Phone
6166088898
NPI
1184194433
Procedures
4
Total Claims
67.3K
Patients Served
47.6K
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 | $39.24 | 31,627 | 31,579 |
| Dental Filling | $126.98 | 17,975 | 8,552 |
| Tooth Extraction | $85.06 | 9,287 | 4,030 |
| Root Canal | $126.69 | 8,390 | 3,448 |
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