Based on public Medicaid payment data.
Kristen Charlene Ponichter
Medicaid Provider in Hazel Park, MI
Type
Individual Provider
Address
22241 John R Rd
Hazel Park, MI 480301716
Phone
2483360356
NPI
1821304858
Procedures
4
Total Claims
963
Patients Served
462
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 |
|---|---|---|---|
| Tooth Extraction | $88.48 | 569 | 168 |
| Dental Cleaning & Exam | $53.86 | 181 | 181 |
| Root Canal | $130.33 | 135 | 71 |
| Dental Filling | $88.02 | 78 | 42 |
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