Based on public Medicaid payment data.
Thomas H Simon
Medicaid Provider in Grant, MI
Type
Individual Provider
Address
11 N Maple St
Grant, MI 493277900
Phone
2318349754
NPI
1073775516
Procedures
4
Total Claims
16.9K
Patients Served
15.7K
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 | $40.32 | 13,754 | 13,750 |
| Dental Filling | $104.13 | 2,613 | 1,549 |
| Tooth Extraction | $78.85 | 453 | 300 |
| Root Canal | $130.19 | 126 | 83 |
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