Based on public Medicaid payment data.
Eric Black
Medicaid Provider in Green Valley, AZ
Type
Individual Provider
Address
1260 S Campbell Ave
Green Valley, AZ 856140504
Phone
5204075617
NPI
1154364305
Procedures
2
Total Claims
43
Patients Served
41
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 | $0.00 | 29 | 29 |
| Tooth Extraction | $0.00 | 14 | 12 |
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