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Based on public Medicaid payment data.

Jeremy John Liddiard

Medicaid Provider in Phoenix, AZ

Type

Individual Provider

Address

12005 N Tatum Blvd

Phoenix, AZ 850281650

Phone

6029710026

NPI

1003269358

Procedures

5

Total Claims

18.3K

Patients Served

10.9K

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 Filling $139.27 9,724 4,623
Dental Cleaning & Exam $36.40 4,711 4,649
Tooth Extraction $102.24 2,544 930
Dental Crown $627.02 1,279 667
Root Canal $716.16 61 55

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