Based on public Medicaid payment data.
Maritza Andreina Michalak
Medicaid Provider in South Bend, IN
Type
Individual Provider
Address
3575 Portage Rd Ste A
South Bend, IN 466286092
Phone
5743492073
NPI
1992228290
Procedures
3
Total Claims
582
Patients Served
503
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 | $43.51 | 394 | 391 |
| Dental Filling | $99.62 | 119 | 78 |
| Tooth Extraction | $153.49 | 69 | 34 |
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