Based on public Medicaid payment data.
Maya Deandrade
Medicaid Provider in Sioux Center, IA
Type
Individual Provider
Address
33 4Th St Nw
Sioux Center, IA 512501870
Phone
7127221700
NPI
1255173522
Procedures
3
Total Claims
865
Patients Served
830
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 | $7.29 | 736 | 720 |
| Dental Filling | $23.09 | 113 | 96 |
| Tooth Extraction | $0.01 | 16 | 14 |
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