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Based on public Medicaid payment data.

Karl O Pilgrim

Medicaid Provider in Temple Hills, MD

Type

Individual Provider

Address

3611 Branch Ave

Temple Hills, MD 207481242

Phone

3013263409

NPI

1699811901

Procedures

4

Total Claims

8.2K

Patients Served

7.6K

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 $38.67 6,731 6,634
Dental Filling $105.05 948 670
Tooth Extraction $103.01 460 333
Root Canal $60.00 18 12

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