Based on public Medicaid payment data.
West Michigan Pediatric Dentistry
Medicaid Provider in Holland, MI
Type
Organization
Address
845 E. 16Th St
Holland, MI 49423
Phone
6163922381
NPI
1942327259
Procedures
4
Total Claims
143.8K
Patients Served
127.3K
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 | $40.81 | 101,055 | 101,015 |
| Dental Filling | $112.90 | 32,100 | 19,974 |
| Tooth Extraction | $89.71 | 6,998 | 4,053 |
| Root Canal | $128.37 | 3,693 | 2,219 |
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