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Based on public Medicaid payment data.

Fairwood Pedodonticsllc

Medicaid Provider in Renton, WA

Type

Organization

Address

14246 Se 176Th St

Renton, WA 980588787

Phone

4255231211

NPI

1164197125

Procedures

2

Total Claims

439

Patients Served

336

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 $21.15 297 282
Dental Filling $48.82 142 54

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