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Based on public Medicaid payment data.

Pda Holdco, Llc

Medicaid Provider in Mesa, AZ

Type

Organization

Address

1457 W Southern Ave Ste 18

Mesa, AZ 852024853

Phone

4806102300

NPI

1821369455

Procedures

2

Total Claims

376

Patients Served

329

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 $5.49 321 301
Dental Filling $12.93 55 28

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