Based on public Medicaid payment data.
Sara Smith
Medicaid Provider in Maple Grove, MN
Type
Individual Provider
Address
12736 Bass Lake Rd
Maple Grove, MN 553696307
Phone
7635592082
NPI
1033424403
Procedures
2
Total Claims
5.1K
Patients Served
4.8K
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 | $51.85 | 4,221 | 4,212 |
| Dental Filling | $94.21 | 902 | 579 |
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