Based on public Medicaid payment data.
Tina Ptacek
Medicaid Provider in Surprise, AZ
Type
Individual Provider
Address
15180 N Cotton Ln Ste 104
Surprise, AZ 853887000
Phone
6232146543
NPI
1649403775
Procedures
3
Total Claims
14.9K
Patients Served
14.1K
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 | $7.89 | 13,821 | 13,529 |
| Dental Filling | $24.66 | 966 | 504 |
| Tooth Extraction | $30.89 | 137 | 51 |
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