Based on public Medicaid payment data.
Henry D Martinez
Medicaid Provider in Phoenix, AZ
Type
Individual Provider
Address
4145 N 108Th Ave
Phoenix, AZ 850375463
Phone
6233442000
NPI
1265774251
Procedures
3
Total Claims
29.3K
Patients Served
27.3K
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 | $8.93 | 25,790 | 25,312 |
| Dental Filling | $22.00 | 3,311 | 1,866 |
| Tooth Extraction | $21.93 | 149 | 83 |
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