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Based on public Medicaid payment data.

Portage Pediatric Dentistry Plc

Medicaid Provider in Portage, MI

Type

Organization

Address

6121 S Westnedge Ave

Portage, MI 490022882

Phone

2693238016

NPI

1366817827

Procedures

4

Total Claims

24K

Patients Served

23K

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 $37.19 21,228 21,213
Dental Filling $103.49 2,050 1,367
Tooth Extraction $81.12 597 350
Root Canal $127.22 101 54

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