Based on public Medicaid payment data.
Lakeside Pediatric Dental Specialists
Medicaid Provider in Port Huron, MI
Type
Organization
Address
1952 Holland Ave
Port Huron, MI 480601520
Phone
8109859660
NPI
1891194379
Procedures
4
Total Claims
20.7K
Patients Served
17.9K
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 | $39.24 | 14,491 | 14,478 |
| Dental Filling | $108.07 | 4,134 | 2,215 |
| Tooth Extraction | $81.00 | 1,708 | 913 |
| Root Canal | $117.48 | 366 | 247 |
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