Based on public Medicaid payment data.
Jared Spencer Smith
Medicaid Provider in Mesa, AZ
Type
Individual Provider
Address
1130 S Country Club Dr
Mesa, AZ 852104639
Phone
4804619866
NPI
1376926303
Procedures
4
Total Claims
2.5K
Patients Served
2K
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 | $34.06 | 1,433 | 1,424 |
| Dental Filling | $119.68 | 764 | 465 |
| Tooth Extraction | $97.45 | 297 | 102 |
| Dental Crown | $392.16 | 19 | 19 |
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