Based on public Medicaid payment data.
Michael Spoelstra
Medicaid Provider in Pearl Harbor, HI
Type
Individual Provider
Address
Naval Health Clinic Hawaii
Pearl Harbor, HI 96860
Phone
5174359914
NPI
1861899163
Procedures
2
Total Claims
146
Patients Served
131
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 | $33.94 | 111 | 110 |
| Tooth Extraction | $161.79 | 35 | 21 |
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