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Based on public Medicaid payment data.

Sudarvizhi Sivaraman

Medicaid Provider in Grosse Pointe Woods, MI

Type

Individual Provider

Address

21219 Mack Ave

Grosse Pointe Woods, MI 482361045

Phone

3138827961

NPI

1972028488

Procedures

2

Total Claims

875

Patients Served

842

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 $35.70 812 802
Dental Filling $120.55 63 40

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