Based on public Medicaid payment data.
Russell D York
Medicaid Provider in Mesa, AZ
Type
Individual Provider
Address
1928 E Main St
Mesa, AZ 852039024
Phone
4807296090
NPI
1821613134
Procedures
3
Total Claims
483
Patients Served
403
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 | $17.22 | 359 | 353 |
| Dental Filling | $43.21 | 63 | 24 |
| Tooth Extraction | $58.47 | 61 | 26 |
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