Based on public Medicaid payment data.
Peter Manesh
Medicaid Provider in Phoenix, AZ
Type
Individual Provider
Address
1904 W Parkside Ln
Phoenix, AZ 850271228
Phone
6234349343
NPI
1801844154
Procedures
3
Total Claims
3.4K
Patients Served
2.9K
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 Cleaning & Exam | $15.46 | 2,768 | 2,605 |
| Dental Filling | $47.35 | 564 | 244 |
| Tooth Extraction | $26.64 | 55 | 36 |
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