Based on public Medicaid payment data.
Robert Joseph Mondragon
Medicaid Provider in Leslie, MI
Type
Individual Provider
Address
159 South Main Street
Leslie, MI 492512530
Phone
5178969346
NPI
1740481167
Procedures
1
Total Claims
43
Patients Served
43
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 | $35.81 | 43 | 43 |
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