Based on public Medicaid payment data.
Randall Keith Lout
Medicaid Provider in Mesa, AZ
Type
Individual Provider
Address
6239 E Brown Rd
Mesa, AZ 852054933
Phone
4803963660
NPI
1285697474
Procedures
2
Total Claims
13.5K
Patients Served
13.3K
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 | $2.16 | 13,258 | 13,192 |
| Dental Filling | $10.24 | 207 | 117 |
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