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Based on public Medicaid payment data.

Smile Ithaca Pllc

Medicaid Provider in Ithaca, MI

Type

Organization

Address

108 S Main St

Ithaca, MI 488471440

Phone

9898754832

NPI

1922677335

Procedures

3

Total Claims

3.4K

Patients Served

3.1K

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 $36.60 2,709 2,709
Dental Filling $111.36 705 426
Tooth Extraction $93.25 19 12

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