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Based on public Medicaid payment data.

Stacy Hanm Pham

Medicaid Provider in Phoenix, AZ

Type

Individual Provider

Address

1904 W Parkside Ln

Phoenix, AZ 850271228

Phone

6234349343

NPI

1225090541

Procedures

4

Total Claims

78.2K

Patients Served

65.8K

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 $6.93 54,839 52,298
Dental Filling $16.33 22,629 12,950
Tooth Extraction $19.62 611 455
Root Canal $33.42 164 111

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