Based on public Medicaid payment data.
Kristopher Bryce Larson
Medicaid Provider in Mesa, AZ
Type
Individual Provider
Address
4050 E Huber St
Mesa, AZ 852054022
Phone
8019210792
NPI
1114396751
Procedures
1
Total Claims
203
Patients Served
183
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 | $10.50 | 203 | 183 |
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