Based on public Medicaid payment data.
Keith A Holm
Medicaid Provider in Litchfield Park, AZ
Type
Individual Provider
Address
5609 N 132Nd Dr
Litchfield Park, AZ 853408331
Phone
6232519767
NPI
1730210980
Procedures
4
Total Claims
52.6K
Patients Served
45.4K
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 | $7.26 | 40,615 | 39,940 |
| Dental Filling | $16.65 | 8,917 | 4,199 |
| Root Canal | $15.27 | 1,964 | 768 |
| Tooth Extraction | $13.13 | 1,093 | 506 |
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