Based on public Medicaid payment data.
Luis Enrique Medina Torres
Medicaid Provider in Phoenix, AZ
Type
Individual Provider
Address
4141 N 32Nd St Ste 100
Phoenix, AZ 850184775
Phone
6024043800
NPI
1235628538
Procedures
2
Total Claims
894
Patients Served
883
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 | $3.59 | 777 | 770 |
| Root Canal | $66.03 | 117 | 113 |
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