Based on public Medicaid payment data.
Haifa Mansour Dds,Pc
Medicaid Provider in Madison Heights, MI
Type
Organization
Address
27753 Dequindre Rd
Madison Heights, MI 480713477
Phone
2485828060
NPI
1942580188
Procedures
5
Total Claims
41.9K
Patients Served
34.8K
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 | $33.31 | 25,596 | 25,412 |
| Dental Filling | $98.01 | 14,800 | 8,443 |
| Dental Crown | $625.13 | 757 | 517 |
| Tooth Extraction | $73.03 | 639 | 348 |
| Root Canal | $568.22 | 65 | 55 |
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