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Based on public Medicaid payment data.

Kenyon Thomas Banfield

Medicaid Provider in Prescott Valley, AZ

Type

Individual Provider

Address

2485 Great Western Ste E

Prescott Valley, AZ 86314

Phone

9287759495

NPI

1245366798

Procedures

3

Total Claims

540

Patients Served

486

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 $0.00 316 311
Dental Filling $0.00 193 150
Tooth Extraction $0.00 31 25

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