Based on public Medicaid payment data.
Sergio Gomes De Souza
Medicaid Provider in Litchfield Park, AZ
Type
Individual Provider
Address
5115 N Dysart Rd
Litchfield Park, AZ 853403032
Phone
6235360900
NPI
1952778532
Procedures
1
Total Claims
193
Patients Served
176
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 | $1.31 | 193 | 176 |
Patient Experiences
No patient experiences shared yet. Be the first to share yours.
Share Your Experience
Share your experience with this provider. Focus on the process, billing, wait time, or outcome. Do not share exact prices.
See something wrong on this page?
Report an error