Based on public Medicaid payment data.
Allen Dene Smith
Medicaid Provider in Lake Havasu, AZ
Type
Individual Provider
Address
45 Capri Blvd Suite G
Lake Havasu, AZ 864035657
Phone
6502910068
NPI
1154636033
Procedures
4
Total Claims
4.8K
Patients Served
3.3K
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 | $53.70 | 3,394 | 2,755 |
| Dental Filling | $109.84 | 908 | 397 |
| Tooth Extraction | $231.19 | 389 | 99 |
| Dental Crown | $540.21 | 133 | 91 |
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