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Based on public Medicaid payment data.

General Dental 4 Kids

Medicaid Provider in Sierra Vista, AZ

Type

Organization

Address

1729 Paseo San Luis

Sierra Vista, AZ 856354611

Phone

5204582520

NPI

1518178276

Procedures

2

Total Claims

209

Patients Served

190

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 $27.05 158 158
Dental Filling $62.05 51 32

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