Based on public Medicaid payment data.
Gary S Davis
Medicaid Provider in Phoenix, AZ
Type
Individual Provider
Address
1701 E Thomas Rd
Phoenix, AZ 850167646
Phone
6022536600
NPI
1164620597
Procedures
4
Total Claims
5K
Patients Served
4.7K
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 | $42.74 | 4,527 | 4,494 |
| Dental Filling | $65.82 | 291 | 155 |
| Root Canal | $99.40 | 77 | 43 |
| Tooth Extraction | $50.92 | 62 | 38 |
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