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Based on public Medicaid payment data.

Northern Michigan Pediatric Dentistry

Medicaid Provider in Traverse City, MI

Type

Organization

Address

4944 Skyview Ct

Traverse City, MI 496847173

Phone

2319474566

NPI

1275685265

Procedures

4

Total Claims

81K

Patients Served

71.1K

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 $38.16 54,899 54,860
Dental Filling $105.90 21,387 13,499
Tooth Extraction $83.85 4,381 2,539
Root Canal $126.19 335 200

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