Based on public Medicaid payment data.
Summit Family Dental Of Kirtland, Llc
Medicaid Provider in Kirtland, NM
Type
Organization
Address
#3 Cr 6523
Kirtland, NM 87417
Phone
5055986800
NPI
1710215439
Procedures
3
Total Claims
3.3K
Patients Served
2.7K
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 | $29.00 | 2,158 | 2,129 |
| Dental Filling | $57.84 | 1,071 | 589 |
| Tooth Extraction | $67.37 | 52 | 17 |
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