Based on public Medicaid payment data.
Montoya Pediatric Dentistry Llc Dba San Tan Pediatric Dental
Medicaid Provider in Queen Creek, AZ
Type
Organization
Address
2510 E Hunt Hwy
Queen Creek, AZ 852435206
Phone
4804571693
NPI
1467607218
Procedures
1
Total Claims
104
Patients Served
104
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 | $15.88 | 104 | 104 |
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