Based on public Medicaid payment data.
Tooth Town Pediatric Dentistry, Pllc
Medicaid Provider in South Lyon, MI
Type
Organization
Address
26018 Pontiac Trl
South Lyon, MI 481788050
Phone
2484864030
NPI
1295395739
Procedures
3
Total Claims
16.7K
Patients Served
16.1K
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 | $40.09 | 14,743 | 14,735 |
| Dental Filling | $113.01 | 1,824 | 1,291 |
| Tooth Extraction | $92.42 | 107 | 71 |
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