Based on public Medicaid payment data.
David Glen Mortenson
Medicaid Provider in Mesa, AZ
Type
Individual Provider
Address
2208 S Barrington
Mesa, AZ 852095328
Phone
4804500829
NPI
1770898488
Procedures
2
Total Claims
219
Patients Served
216
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 | $12.09 | 206 | 204 |
| Root Canal | $141.46 | 13 | 12 |
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