Based on public Medicaid payment data.
Sprout Pediatric Dental
Medicaid Provider in Lake Ariel, PA
Type
Organization
Address
554 Hamlin Highway
Lake Ariel, PA 184369319
Phone
5702530358
NPI
1528319993
Procedures
3
Total Claims
2.6K
Patients Served
2.5K
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 | $29.32 | 2,529 | 2,513 |
| Dental Filling | $89.11 | 60 | 24 |
| Tooth Extraction | $74.70 | 17 | 12 |
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