Based on public Medicaid payment data.
Mutasem Al-Thweib
Medicaid Provider in Michigan City, IN
Type
Individual Provider
Address
1431 S Woodland Ave
Michigan City, IN 463607122
Phone
2198747840
NPI
1851020663
Procedures
3
Total Claims
1.6K
Patients Served
1.3K
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 | $39.90 | 1,061 | 971 |
| Dental Filling | $96.71 | 428 | 289 |
| Tooth Extraction | $172.74 | 118 | 54 |
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