Based on public Medicaid payment data.
James Wyatt Lines
Medicaid Provider in Phoenix, AZ
Type
Individual Provider
Address
4550 E Thomas Rd
Phoenix, AZ 850187610
Phone
6025518239
NPI
1962839092
Procedures
3
Total Claims
7.5K
Patients Served
7.1K
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 | $12.35 | 6,506 | 6,397 |
| Dental Filling | $31.41 | 941 | 671 |
| Tooth Extraction | $25.13 | 83 | 57 |
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