Based on public Medicaid payment data.
Melissa Jarvis
Medicaid Provider in Peoria, AZ
Type
Individual Provider
Address
13695 N 75Th Ave
Peoria, AZ 853816098
Phone
6024391101
NPI
1790332575
Procedures
3
Total Claims
1.5K
Patients Served
997
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 | $25.43 | 775 | 717 |
| Tooth Extraction | $57.96 | 408 | 81 |
| Dental Filling | $59.23 | 307 | 199 |
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