Based on public Medicaid payment data.
Susan Michelle Larsen
Medicaid Provider in Mesa, AZ
Type
Individual Provider
Address
1245 E Southern Ave
Mesa, AZ 852045137
Phone
4806106544
NPI
1114010188
Procedures
4
Total Claims
51.7K
Patients Served
48.6K
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 | $10.14 | 45,365 | 45,079 |
| Dental Filling | $30.30 | 5,576 | 3,097 |
| Root Canal | $33.07 | 448 | 200 |
| Tooth Extraction | $31.05 | 335 | 180 |
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