Based on public Medicaid payment data.
Pauline Jiddou
Medicaid Provider in Lathrup Village, MI
Type
Individual Provider
Address
18181 W 12 Mile Rd
Lathrup Village, MI 480762666
Phone
2485575756
NPI
1184812034
Procedures
1
Total Claims
74
Patients Served
74
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 | $31.30 | 74 | 74 |
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