Based on public Medicaid payment data.
Upper Great Lakes Family Health Center
Medicaid Provider in Iron River, MI
Type
Organization
Address
1500 W Ice Lake Rd
Iron River, MI 499358509
Phone
9062655378
NPI
1386409001
Procedures
3
Total Claims
312
Patients Served
214
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 | $55.88 | 150 | 150 |
| Tooth Extraction | $90.44 | 120 | 40 |
| Dental Filling | $107.62 | 42 | 24 |
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