Based on public Medicaid payment data.
Logan Mariano
Medicaid Provider in Phoenix, AZ
Type
Individual Provider
Address
4383 E Rosemonte Dr
Phoenix, AZ 850503407
Phone
5707723267
NPI
1861989121
Procedures
3
Total Claims
10.6K
Patients Served
10.1K
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 | $7.87 | 9,963 | 9,775 |
| Dental Filling | $26.56 | 557 | 303 |
| Tooth Extraction | $30.48 | 51 | 25 |
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