Based on public Medicaid payment data.
Grand River Pediatric Dentistry Pllc
Medicaid Provider in Jenison, MI
Type
Organization
Address
7758 20Th Ave
Jenison, MI 49428
Phone
7342504494
NPI
1174175996
Procedures
4
Total Claims
21.3K
Patients Served
17.4K
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 | $40.14 | 12,969 | 12,924 |
| Dental Filling | $111.92 | 5,873 | 3,196 |
| Tooth Extraction | $88.30 | 1,807 | 937 |
| Root Canal | $130.46 | 613 | 363 |
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