Based on public Medicaid payment data.
Trevor S Montgomery
Medicaid Provider in Phoenix, AZ
Type
Individual Provider
Address
3540 W Camelback Rd
Phoenix, AZ 850192707
Phone
6024274070
NPI
1417632357
Procedures
2
Total Claims
385
Patients Served
303
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 | $15.30 | 226 | 225 |
| Dental Filling | $33.16 | 159 | 78 |
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