Based on public Medicaid payment data.
Daniel L Bolt
Medicaid Provider in Holland, MI
Type
Individual Provider
Address
845 E. 16Th St
Holland, MI 49423
Phone
6163922381
NPI
1811069198
Procedures
4
Total Claims
2.1K
Patients Served
1.5K
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 Filling | $101.00 | 834 | 472 |
| Dental Cleaning & Exam | $16.80 | 814 | 813 |
| Root Canal | $128.96 | 241 | 103 |
| Tooth Extraction | $79.52 | 167 | 88 |
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