Based on public Medicaid payment data.
Calderon Mi Dental Pllc
Medicaid Provider in Monroe, MI
Type
Organization
Address
2165 N Telegraph Rd
Monroe, MI 481628947
Phone
7342431200
NPI
1568940393
Procedures
2
Total Claims
379
Patients Served
307
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 | $42.45 | 283 | 282 |
| Tooth Extraction | $131.53 | 96 | 25 |
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