Based on public Medicaid payment data.
Donald Gary Wolford
Medicaid Provider in St Clair Shores, MI
Type
Individual Provider
Address
22811 Mack Ave
St Clair Shores, MI 480802021
Phone
5867771331
NPI
1659355063
Procedures
2
Total Claims
982
Patients Served
487
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 |
|---|---|---|---|
| Tooth Extraction | $39.94 | 663 | 169 |
| Dental Cleaning & Exam | $25.23 | 319 | 318 |
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