Based on public Medicaid payment data.
Clark D Andelin
Medicaid Provider in Philadelphia, PA
Type
Individual Provider
Address
3400 Spruce St
Philadelphia, PA 191044206
Phone
2156626176
NPI
1043538705
Procedures
2
Total Claims
12.3K
Patients Served
6.4K
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 |
|---|---|---|---|
| Tooth Extraction | $154.01 | 8,957 | 3,163 |
| Dental Cleaning & Exam | $40.21 | 3,380 | 3,260 |
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