Based on public Medicaid payment data.
Yakov Khaydatov
Medicaid Provider in Phoenix, AZ
Type
Individual Provider
Address
5225 N 19Th Ave
Phoenix, AZ 850152903
Phone
6024330313
NPI
1023249448
Procedures
2
Total Claims
1.4K
Patients Served
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 | $5.07 | 1,359 | 1,020 |
| Dental Crown | $25.19 | 18 | 12 |
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