Based on public Medicaid payment data.
Charlie E Clark
Medicaid Provider in Surprise, AZ
Type
Individual Provider
Address
15264 W Brookside Ln
Surprise, AZ 853743989
Phone
6234743975
NPI
1417103482
Procedures
2
Total Claims
6K
Patients Served
6K
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 | $0.85 | 5,986 | 5,932 |
| Dental Filling | $0.00 | 58 | 24 |
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