Based on public Medicaid payment data.
Rafal Pytlik
Medicaid Provider in Peoria, AZ
Type
Individual Provider
Address
13360 N 94Th Dr
Peoria, AZ 853814837
Phone
6239772551
NPI
1396860912
Procedures
4
Total Claims
25.3K
Patients Served
24.3K
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 | $52.21 | 23,474 | 23,382 |
| Dental Filling | $65.81 | 1,108 | 572 |
| Tooth Extraction | $56.56 | 636 | 337 |
| Root Canal | $98.76 | 85 | 37 |
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