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Based on public Medicaid payment data.

Bubble Gum Kids Dentistry

Medicaid Provider in Southgate, MI

Type

Organization

Address

15401 Dix Toledo Rd

Southgate, MI 48195

Phone

7349999292

NPI

1790461630

Procedures

3

Total Claims

1.5K

Patients Served

1.4K

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 $54.67 1,246 1,239
Tooth Extraction $106.59 160 96
Dental Filling $127.40 69 42

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