Based on public Medicaid payment data.
Phoenix Pediatric Dental, Llc
Medicaid Provider in Phoenix, AZ
Type
Organization
Address
6750 N 19Th Ave
Phoenix, AZ 850151127
Phone
6022425741
NPI
1891875498
Procedures
4
Total Claims
1.3K
Patients Served
1.1K
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 | $1.89 | 943 | 940 |
| Dental Filling | $7.76 | 220 | 107 |
| Tooth Extraction | $0.00 | 85 | 23 |
| Root Canal | $0.00 | 42 | 16 |
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