Based on public Medicaid payment data.
Mike Kostakos, Dds, P.C.
Medicaid Provider in Southfield, MI
Type
Organization
Address
20307 W 12 Mile Rd Ste 101
Southfield, MI 480765407
Phone
2485591220
NPI
1295441822
Procedures
3
Total Claims
2K
Patients Served
1.9K
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 | $43.51 | 1,766 | 1,757 |
| Dental Filling | $127.21 | 198 | 128 |
| Dental Crown | $694.16 | 20 | 14 |
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