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Based on public Medicaid payment data.

Smile Cascade, P.C.

Medicaid Provider in Grand Rapids, MI

Type

Organization

Address

4505 Cascade Rd Se # A

Grand Rapids, MI 49546

Phone

6162281210

NPI

1679062772

Procedures

3

Total Claims

18.2K

Patients Served

16.9K

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 $40.80 14,624 14,605
Dental Filling $115.49 3,412 2,190
Tooth Extraction $89.59 172 128

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