Based on public Medicaid payment data.
Professional Dental Alliance Of Michigan, Llc
Medicaid Provider in Richmond, MI
Type
Organization
Address
69089 N Main St
Richmond, MI 480621146
Phone
5867275898
NPI
1144579467
Procedures
5
Total Claims
45.5K
Patients Served
31.9K
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 | $31.83 | 22,279 | 22,160 |
| Tooth Extraction | $59.06 | 15,343 | 4,762 |
| Dental Filling | $99.47 | 6,865 | 4,206 |
| Dental Crown | $670.10 | 993 | 766 |
| Root Canal | $590.16 | 12 | 12 |
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